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Individual

DR. AMY GATES MAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3842 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 437-9500
(260) 434-1020
Mailing address
3842 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 437-9500
(260) 434-1020

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
58.001942
OH

Other

Enumeration date
07/30/2008
Last updated
08/12/2009
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