Individual
JULIE S PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR., SUITE 202, FORT WAYNE, IN 46845
(260) 672-6520
(260) 490-6261
Mailing address
1234 E. DUPONT RD., 3, FORT WAYNE, IN 46825-1545
(260) 373-9728
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01045652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000692854
ANTHEM
IN
05
—
200444750
—
IN
Enumeration date
06/25/2006
Last updated
03/11/2011
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