Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ROSEANN MAY MD (PHYSICIAN)
(260) 426-5431
Entity
Organization
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 460-1425
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
01041399
IN
Other
Enumeration date
08/29/2006
Last updated
09/19/2008
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