Individual
MARGARET MARY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(800) 360-8387
Mailing address
4467 GREENRIDGE WAY, NEW HAVEN, IN 46774-1599
(260) 494-2623
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
28211556A
IN
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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