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Individual

DR. ROBERT F MANGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(833) 724-8326
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-8210

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01037708A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084971
ANTHEM
05
100344180
IN
01
4503602
AETNA
Enumeration date
03/16/2006
Last updated
10/20/2022
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