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NPI Code Detail

MEDICARE: FERTILITY AND MIDWIFERY CARE CENTER LLC

MEDICARE: FERTILITY AND MIDWIFERY CARE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1376955070
Entity Type Code : Organization
Provider Name (Legal Business Name) : FERTILITY AND MIDWIFERY CARE CENTER LLC
Provider Business Mailing Address
First Line : 2512 E DUPONT RD STE 105
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-0045
Country : US
Telephone Number : 260-222-7401
Fax Number : 260-209-5956
Provider Business Practice Location Address
First Line : 2512 E DUPONT RD STE 105
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-0045
Country : US
Telephone Number : 260-222-7401
Fax Number : 260-209-5956
Authorized Official
Title or Position : OFFICE MANAGER
Name : APRIL BEISWENGER
Credential :
Telephone Number : 260-222-7401
Provider Enumeration Date : 05/29/2014
Last Update Date : 04/02/2025

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Directions to “FERTILITY AND MIDWIFERY CARE CENTER LLC ” Practice Location

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