Individual
DR. JUSTIN L MCGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DRIVE, FORT WAYNE, IN 46845-1701
(260) 266-1000
(260) 482-4442
Mailing address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01079183
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001148498
ANTHEM
IN
05
—
300007523
—
IN
Enumeration date
06/04/2015
Last updated
04/11/2019
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