Individual
HERBERT K.J. ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3534 BROOKLYN AVE, FORT WAYNE, IN 46809-1361
(260) 478-5100
(260) 478-5213
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTTN: MEGAN FORTNEY, FORT WAYNE, IN 46804-7934
(260) 479-3515
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01020628A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01020628A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318010
—
IN
Enumeration date
11/02/2005
Last updated
09/23/2020
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