Individual
DR. JOSEPH M MLAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9933 DUPONT CIRCLE DR W STE 120, FORT WAYNE, IN 46825-1629
(260) 490-4673
(260) 490-2165
Mailing address
9933 DUPONT CIRCLE DR W STE 120, FORT WAYNE, IN 46825-1629
(260) 490-4673
(260) 490-2165
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01045481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200090070
—
IN
05
—
2061487
—
OH
Enumeration date
08/09/2005
Last updated
01/04/2022
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