Provider First Line Business Practice Location Address:
3030 LAKE AVE
Provider Second Line Business Practice Location Address:
SUITE 25A
Provider Business Practice Location Address City Name:
FORT WAYNE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46805-5428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
260-422-4096
Provider Business Practice Location Address Fax Number:
260-424-2551
Provider Enumeration Date:
09/27/2006