Organization
PEDIATRICS CENTER OF FORT WAYNE, P.C.
Active
Organization
PEDIATRICS CENTER OF FORT WAYNE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH FEDORIW B.A., M.A. (OFFICE ADMINISTRATOR)
(260) 422-4096
Entity
Organization
Contact information
Practice address
3030 LAKE AVE, #25A, FORT WAYNE, IN 46805-5428
(260) 422-4096
(260) 424-2551
Mailing address
3030 LAKE AVE, #25A, FORT WAYNE, IN 46805-5428
(260) 422-4096
(260) 424-2551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10137509
IN
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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