Individual
DR. SHEILA K PITTENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 482-5091
(260) 482-5168
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-5091
(260) 482-5168
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01073014
IN
390200000X
Student in an Organized Health Care Education/Training Program
TRN14980
FL
Other
Enumeration date
06/08/2010
Last updated
05/28/2024
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