Organization
WOMEN'S HEALTH ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER E SPORRE MD (PRESIDENT)
(260) 432-4400
Entity
Organization
Contact information
Practice address
1818 CAREW ST, SUITE 230, FORT WAYNE, IN 46805-4788
(260) 482-8241
(260) 373-4144
Mailing address
1818 CAREW ST, SUITE 230, FORT WAYNE, IN 46805-4788
(260) 482-8241
(260) 373-4144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
08/22/2020
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