Individual
ALEXANDRA ELIZABETH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2500
(260) 266-2514
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
01093278A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4351046460
MI
Other
Enumeration date
06/02/2020
Last updated
10/02/2024
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