Individual
DR. IAN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2050 E DUPONT RD, FORT WAYNE, IN 46825
(260) 444-2080
Mailing address
2050 E DUPONT RD, FORT WAYNE, IN 46825-1583
(260) 444-2080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002686A
IN
Other
Enumeration date
11/15/2012
Last updated
11/13/2019
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