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Individual

MARY ELLEN L. STROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845-1733
(260) 266-5230
(260) 452-5972
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 667-5131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005258A
IN
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/16/2026
Last updated
07/30/2026
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