Individual
KENAN ALIBEGOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8607 TEMPLE DR, FORT WAYNE, IN 46809-3048
(260) 478-9220
(260) 478-9172
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006464A
IN
Other
Enumeration date
06/08/2020
Last updated
08/30/2023
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