Individual
,BIRUTE L PUMPUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
(260) 969-3065
Mailing address
3926 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 266-1401
(260) 458-5734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200153780
—
IN
Enumeration date
07/29/2005
Last updated
03/23/2017
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