Individual
ALEXANDER BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805-1445
(260) 257-6831
Mailing address
2719 ROSCOMMON DR, FORT WAYNE, IN 46805-2449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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