Individual
DR. MACY SARNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077742A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718562
BSMT
WV
05
—
1805557000
—
WV
05
—
SA4037973
—
WV
Enumeration date
06/13/2006
Last updated
03/04/2024
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