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Individual

DR. TERRELL MORGAN BOND JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 458-2574
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 458-2574

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01042638A
IN
207Q00000X
Family Medicine Physician
Primary
68701
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070860SS
MEDICARE NUMBER
IN
05
100380680A
IN
Enumeration date
06/28/2006
Last updated
04/21/2026
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