Organization
EAR CLINIC OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DISHER M.D. (OWNER)
(260) 414-4882
Entity
Organization
Contact information
Practice address
9604 COLDWATER RD STE 103, FORT WAYNE, IN 46825-2096
(260) 387-5820
Mailing address
9604 COLDWATER RD STE 103, FORT WAYNE, IN 46825-2096
(260) 387-5820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01044624
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201005050
—
IN
Enumeration date
10/28/2010
Last updated
11/07/2025
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