Individual
ANDREA K TUFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
309 INSURANCE DR, FORT WAYNE, IN 46825-4252
(175) 592-1853
(883) 673-0254
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-7854
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201090320
—
IN
Enumeration date
06/15/2012
Last updated
07/30/2021
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