Individual
DAVID T PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 672-6620
(260) 672-6639
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1548
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201315260
—
IN
05
—
214330099
—
ME
Enumeration date
09/28/2006
Last updated
12/22/2015
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