Individual
VICTORIA S. MAASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1818 CAREW STREET, SUITE 260, FORT WAYNE, IN 46805
(260) 373-9250
(260) 373-9262
Mailing address
1818 CAREW STREET, SUITE 260, FORT WAYNE, IN 46805
(260) 373-9250
(260) 373-9262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000343A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284682
ANTHEM
IN
01
—
3937240010
MEDICARE DMEPOS
IN
Enumeration date
01/11/2006
Last updated
01/24/2008
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