Individual
PAUL H. FRY-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1104 N WAYNE ST, NORTH MANCHESTER, IN 46962-1001
(260) 982-2102
(260) 982-2105
Mailing address
3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8211
(260) 458-5641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000057A
IN
Other
Enumeration date
01/11/2006
Last updated
01/15/2020
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