Individual
BENJAMIN J STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 266-4007
(260) 266-4008
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001708A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006177
—
IN
Enumeration date
07/23/2014
Last updated
10/03/2022
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