Individual
DR. ALEXANDER D ANTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4000
(260) 482-4442
Mailing address
3640 NEW VISION DR, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011080
MPLAN
—
01
—
000000082535
ANTHEM
IN
05
—
0882166
—
OH
05
—
104874703
—
MI
05
—
200033290
—
IN
Enumeration date
09/13/2005
Last updated
04/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us