Organization
FORT WAYNE CARDIOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SCHROEDER (CFO)
(260) 481-4700
Entity
Organization
Contact information
Practice address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
(260) 481-4700
(260) 481-4808
Mailing address
PO BOX 11829, FORT WAYNE, IN 46861-1829
(260) 481-4700
(260) 481-4808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
10/24/2007
Last updated
10/07/2008
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