Individual
DR. JOSEPH WILLIAM MCCOLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(833) 724-8326
(260) 266-7585
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5315055606
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
02005601A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
34.011985
OH
207RH0003X
Hematology & Oncology Physician
34.011985
OH
Other
Enumeration date
07/05/2012
Last updated
12/20/2022
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