Individual
ALEXANDER EUGENE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1730
(260) 266-5700
(260) 266-5910
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01080166A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
39002779A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/08/2015
Last updated
10/14/2022
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