Organization
FORT WAYNE ALLERGY AND ASTHMA CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCCLELLAN (OFFICE MANAGER)
(260) 436-5670
Entity
Organization
Contact information
Practice address
7964 W. JEFFERSON BLVD., FORT WAYNE, IN 46804-4140
(260) 436-5670
(260) 436-4706
Mailing address
7964 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 436-5670
(260) 436-4706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200291770A
—
IN
Enumeration date
10/17/2006
Last updated
04/20/2026
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