Organization
CREDO HEALTH GROUP, LLC
Active
Other names
Credo Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J. MULLALLY M.D. (OWNER)
(260) 445-5829
Entity
Organization
Contact information
Practice address
10050 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 432-6459
(260) 240-5284
Mailing address
10050 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 432-6459
(260) 240-5284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074259A
IN
Other
Enumeration date
05/18/2016
Last updated
02/14/2025
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