Individual
DR. SHERYL ANN ALTAMIRANO DIMAYUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01081703
IN
207R00000X
Internal Medicine Physician
Primary
01081703A
IN
207R00000X
Internal Medicine Physician
4301094148
MI
Other
Enumeration date
07/16/2009
Last updated
10/12/2022
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