Individual
STEVEN S DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
6424 E STATE BLVD, FORT WAYNE, IN 46815-7025
(260) 749-1818
Mailing address
7525 MAPLECREST RD STE 104, FORT WAYNE, IN 46835-1897
(260) 403-0234
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001443A
IN
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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