Organization
STELLHORN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE YEITER ETC (OWNER)
(260) 432-6508
Entity
Organization
Contact information
Practice address
3464 STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 432-6508
(260) 432-6586
Mailing address
3464 STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 432-6508
(260) 432-6586
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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