Whalio Doctors

NPI 1245240399

Michael J Stronczek, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Fort Wayne, IN

Practice location

Address
7845 Carnegie Blvd, Fort Wayne, IN 46804-5792
Phone
(260) 423-2340
Mailing address
4606 D East State Blvd, Fort Wayne, IN 46815-6963

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 12009084 (IN)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 12009084 (IN)

Registry record

NPI
1245240399
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Aug 2006
Record last updated
9 Jul 2020

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.