Individual
ZIN M THAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7001
Mailing address
1201 JACOBS DRIVE, FORT WAYNE, IN 46814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084834A
IN
208M00000X
Hospitalist Physician
Primary
01084834A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2017
Last updated
12/14/2020
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