Individual
LING QIN-NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
604 W BERRY ST, FORT WAYNE, IN 46802-2106
(260) 423-1331
(260) 422-1046
Mailing address
604 W BERRY ST, FORT WAYNE, IN 46802-2106
(260) 423-1331
(260) 422-1046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019531
MI
207RC0000X
Cardiovascular Disease Physician
Primary
02005348A
IN
207RI0011X
Interventional Cardiology Physician
02005348A
IN
Other
Enumeration date
06/22/2011
Last updated
01/27/2025
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