Individual
ALLEN RICHARD MAERTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6515 STELLHORN RD STE 200, FORT WAYNE, IN 46815-5436
(260) 458-3212
(260) 245-8632
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005469A
IN
207Q00000X
Family Medicine Physician
11019647A
IN
Other
Enumeration date
06/28/2017
Last updated
08/08/2024
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