Individual
JOHN LOGAN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14108 ABOITE CENTER RD, FORT WAYNE, IN 46814-9744
(260) 443-6097
Mailing address
14108 ABOITE CENTER RD, FORT WAYNE, IN 46814-9744
(260) 443-6097
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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