Individual
AUTUMNE BERGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 458-3830
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004665A
IN
Other
Enumeration date
10/23/2024
Last updated
12/18/2025
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