Individual
MARIA THERESA A. CABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3534 BROOKLYN AVE, FORT WAYNE, IN 46809-1361
(260) 478-5180
(260) 483-6375
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 478-5180
(260) 483-6375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044196A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494081
BLUE CROSS BLUE SHIELD
—
05
—
100376370
—
IN
Enumeration date
06/02/2006
Last updated
06/28/2021
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