Individual
JON T HARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 469-4763
Mailing address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 469-4763
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01037606A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01037606A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100339900
—
IN
Enumeration date
05/26/2006
Last updated
01/27/2016
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