Individual
MR. DANIEL R KONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11143 PARKVIEW PLAZA DR, SUITE 100, FORT WAYNE, IN 46845-1727
(260) 484-8830
(260) 446-3600
Mailing address
13211 ACADIA CV, FORT WAYNE, IN 46845-9072
(260) 484-6767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000153
IN
Other
Enumeration date
09/24/2006
Last updated
02/10/2014
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