NPI 1881678860

Northeast Indiana Genetic Counseling Center INC

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

Practice location

Address: 11143 Parkview Plaza Dr STE. 311, Fort Wayne, IN 46845-1701
Phone: (260) 482-3886
Fax: (260) 482-1910

Authorised official

Name: Patricia I Bader
Title: Physician
Phone: (260) 482-3886

Registered specialties (3)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 01022953 (IN)

Other Medical Genetics providers in Indiana →

Clinical Cytogenetics Physician

Allopathic & Osteopathic Physicians Taxonomy 207SC0300X Licence 01022953 (IN)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 01022953 (IN)

Other Pediatrics providers in Indiana →

Registry record

NPI: 1881678860
Entity type: Organization
NPI issued: 2 Dec 2005
Record last updated: 27 May 2009

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.