Individual
STARR NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11123 PARKVIEW PLAZA DR, # 102, FORT WAYNE, IN 46845-1707
(260) 483-0688
Mailing address
11123 PARKVIEW PLAZA DR, # 102, FORT WAYNE, IN 46845-1707
(260) 483-0688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000712A
IN
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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