Individual
ZACHARY M CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
11108 PARKVIEW CIRCLE DR STE 5100, FORT WAYNE, IN 46845-1730
(260) 266-2800
(260) 266-2805
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001218A
IN
Other
Enumeration date
09/10/2010
Last updated
08/30/2023
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