Individual
MICHAEL SCOTT MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
PO BOX 11766, FORT WAYNE, IN 46860-1766
(260) 338-1104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01033792A
IN
Other
Enumeration date
09/22/2006
Last updated
08/01/2019
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