| Michael J Phend, MD | |
|
3124 E State Blvd Suite 3f Fort Wayne IN 46805-4798 | |
| (260) 482-1681 | |
| (260) 482-1857 |
| Full Name | Michael J Phend, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 3124 E State Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Micheal James Phend (PHYSICIAN) |
| Authorized Official Contact | 2604821681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Phend, MD 6728 Sweet Wood Ct Fort Wayne IN 46814-8127 Ph: (260) 482-1681 | Michael J Phend, MD 3124 E State Blvd Suite 3f Fort Wayne IN 46805-4798 Ph: (260) 482-1681 |
| NPI Number | 1346380847 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346380847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01030254 (Indiana) | Primary |
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