NPI 1356764419

Northeast Indiana Genetics, LLC

Organisation Clinical Genetics (M.D.) Physician Fort Wayne, IN

Practice location

Address: 7230 Engle Rd, Fort Wayne, IN 46804-2209
Phone: (260) 482-3886
Fax: (260) 482-1910

Authorised official

Name: Joseph Bader
Title: Office Manager
Phone: (260) 482-3886

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Indiana →

Registry record

NPI: 1356764419
Entity type: Organization
NPI issued: 27 Jan 2014
Record last updated: 31 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.