| Regen Med Of Indiana Llc | |
|
5931 Stoney Creek Dr Fort Wayne IN 46825-4401 | |
| (260) 482-2206 | |
| (260) 483-3964 |
| Full Name | Regen Med Of Indiana Llc |
|---|---|
| Speciality | General Practice |
| Location | 5931 Stoney Creek Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Tonna B. Chalfant (MANAGER) |
| Authorized Official Contact | 2604822206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regen Med Of Indiana Llc 5931 Stoney Creek Dr Fort Wayne IN 46825-4401 Ph: (260) 482-2206 | Regen Med Of Indiana Llc 5931 Stoney Creek Dr Fort Wayne IN 46825-4401 Ph: (260) 482-2206 |
| NPI Number | 1104395680 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104395680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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