Individual
DENNIS C. UHRHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7230 ENGLE RD, FORT WAYNE, IN 46804
(260) 234-5400
(260) 234-5410
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, ATTN: KAREN MINCH, MUNCIE, IN 47303-4988
(765) 282-8991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206194
BLUE CROSS
—
05
—
200102530
—
IN
Enumeration date
06/18/2006
Last updated
08/27/2018
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