Individual
DR. DAVID R PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1819 CAREW ST, ATTENTION: POLLY BALOSKI, FORT WAYNE, IN 46805-4705
(260) 481-4810
(260) 481-4883
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01043018A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641094
ANTHEM
IN
05
—
200907600
—
IN
05
—
2912665
—
OH
01
—
P00825407
R.R. MEDICARE
IN
Enumeration date
02/03/2006
Last updated
10/17/2022
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