Organization
MARION VAMC
Active
Other names
FORT WAYNE VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2500 E STATE BLVD, FORT WAYNE, IN 46805-4728
(608) 821-7200
(608) 821-7658
Mailing address
PO BOX 94486, CLEVELAND, OH 44101-4486
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
02/24/2023
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