Individual
DR. JUDY L. ZACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3974 NEW VISION DRIVE, FORT WAYNE, IN 46845-1712
(260) 471-5980
(260) 471-5981
Mailing address
3974 NEW VISION DRIVE, FORT WAYNE, IN 46845-1712
(260) 471-5980
(260) 471-5981
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01054348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381394
ANTHEM PIN NUMBER
IN
01
—
1919896
FIRST HEALTH/COVENTRY
IN
Enumeration date
06/16/2006
Last updated
05/23/2008
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