Individual
ERIC SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 W RUDISILL BLVD, FORT WAYNE, IN 46807
(260) 425-5180
(260) 425-5210
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11018751A
IN
Other
Enumeration date
05/27/2016
Last updated
02/01/2024
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