Organization
WOMENS HEALTH ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER E SPORRE MD (PRESIDENT)
(260) 432-4400
Entity
Organization
Contact information
Practice address
7635 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 432-4400
(260) 432-2723
Mailing address
7635 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 432-4400
(260) 432-2723
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/09/2006
Last updated
08/22/2020
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