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Individual

ERIC ALLEN WOENKER I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
VA NORTHERN INDIANA HEALTH CARE SYSTEM-FORT WAYNE VAMC, 2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
VA NORTHERN INDIANA HEALTH CARE SYSTEM-FORT WAYNE VAMC, 2121 LAKE AVE, FORT WAYNE, IN 46805-5100

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30004489A
IN

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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