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Individual

DR. MEGHAN NICHOLS PODOLSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DACM, DIPL OM, LAC

Contact information

Practice address
1136 COLUMBIA AVE, FORT WAYNE, IN 46805-4312
(260) 222-8858
Mailing address
2310 FLORIDA DR, FORT WAYNE, IN 46805-3538
(260) 241-1505

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18730
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172423
NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE (NCCAOM)
01
18730
CALIFORNIA ACUPUNCTURE BOARD
CA
01
84000243A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
12/17/2019
Last updated
07/11/2023
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