Individual
WILLIAM DALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 435-7973
Mailing address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
163W00000X
IN
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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