Individual
MICHAEL W CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 425-5500
(260) 425-5525
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031210A
IN
207Q00000X
Family Medicine Physician
35.151398
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328710A
—
IN
Enumeration date
04/18/2006
Last updated
01/07/2026
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