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Organization

FORT WAYNE ENDOCRINOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNEY NEWBY (OFFICE MANAGER)
(260) 436-1248
Entity
Organization

Contact information

Practice address
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 436-1248
(260) 436-7968
Mailing address
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 436-1248
(260) 436-7968

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200218650
IN
Enumeration date
01/18/2007
Last updated
02/11/2026
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