Individual
JAMES E RANOCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3488B STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 241-5807
(260) 486-8075
Mailing address
3488B STELLHORN RD, FORT WAYNE, IN 46815-4630
(260) 241-5807
(260) 486-8075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081890
—
IN
Enumeration date
08/10/2005
Last updated
07/22/2015
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