Organization
MICHAEL J PHEND, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL JAMES PHEND MD (PHYSICIAN)
(260) 482-1681
Entity
Organization
Contact information
Practice address
3124 E STATE BLVD, SUITE 3F, FORT WAYNE, IN 46805-4798
(260) 482-1681
(260) 482-1857
Mailing address
6728 SWEET WOOD CT, FORT WAYNE, IN 46814-8127
(260) 482-1681
(260) 482-1857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030254
IN
Other
Enumeration date
02/07/2007
Last updated
01/17/2008
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