Individual
DR. STEPHANIE R FALATKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845
(260) 425-6780
(260) 425-6615
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
02005129A
IN
207T00000X
Neurological Surgery Physician
5101018873
MI
207T00000X
Neurological Surgery Physician
DO.1608
AL
Other
Enumeration date
05/18/2011
Last updated
10/10/2022
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