Organization
PROFESSIONAL EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E GUTWEIN MD (PRESIDENT)
(260) 482-4440
Entity
Organization
Contact information
Practice address
353 N OAK ST, COLUMBIA CITY, IN 46725-1623
(260) 248-9000
Mailing address
2414 E STATE BLVD, SUITE 202, FORT WAYNE, IN 46805-4760
(260) 482-4440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517753
—
OH
Enumeration date
08/24/2006
Last updated
09/11/2025
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