Organization
APPLESEED PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD R HALL M.D. (VICE PRESIDENT)
(260) 486-3300
Entity
Organization
Contact information
Practice address
6108 MAPLECREST RD, FORT WAYNE, IN 46835-2524
(260) 486-3300
(260) 486-3600
Mailing address
6108 MAPLECREST RD, FORT WAYNE, IN 46835-2524
(260) 486-3300
(260) 486-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01022184
IN
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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