Individual
UJOR UDE EKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
3814 GRANT ST, GARY, IN 46408-2150
(219) 397-1951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065548A
IN
Other
Enumeration date
07/29/2008
Last updated
01/26/2016
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