Organization
CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE T. MILNER N.P. (PRESIDENT)
(260) 458-8414
Entity
Organization
Contact information
Practice address
2315 BROADWAY, FORT WAYNE, IN 46807-1103
(260) 458-8414
(260) 458-8414
Mailing address
2315 BROADWAY, FORT WAYNE, IN 46807-1103
(260) 458-8414
(260) 458-8414
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
71000514A
IN
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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