Individual
DR. JEFFREY W BIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(270) 471-9466
Mailing address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(270) 471-9466
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01078935
IN
2085R0202X
Diagnostic Radiology Physician
35.132065
OH
2085R0204X
Vascular & Interventional Radiology Physician
01078935
IN
2085R0204X
Vascular & Interventional Radiology Physician
35.132065
OH
Other
Enumeration date
07/15/2008
Last updated
04/23/2018
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