Individual
DR. JACQUELINE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
7559 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4131
(260) 436-3579
Mailing address
7559 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4131
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001138A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003581
OH
Other
Enumeration date
12/14/2011
Last updated
06/12/2012
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