Individual
MARY ANN MEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2510 E DUPONT RD, SUITE 210, FORT WAYNE, IN 46825-1602
(260) 969-2990
(260) 969-2991
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02002459A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200403130
—
IN
05
—
2794089
—
OH
Enumeration date
01/18/2006
Last updated
09/29/2020
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