Organization
PSYCHIATRIC INNOVATIONS PC
Active
Other names
FAWVER WELLNESS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D FAWVER MD (OWNER)
(260) 436-4060
Entity
Organization
Contact information
Practice address
6920 POINTE INVERNESS WAY, #250, FORT WAYNE, IN 46804-7926
(260) 436-4060
(260) 436-5713
Mailing address
6920 POINTE INVERNESS WAY, #250, FORT WAYNE, IN 46804-7926
(260) 436-4060
(260) 436-5713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
03/30/2012
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