MEDICARE: WOMEN CARING FOR WOMEN

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
1	207V00000X	Obstetrics & Gynecology Physician	50004812A	IN

General Provider Information

NPI Number	:	1861437642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN CARING FOR WOMEN

Provider Business Mailing Address
First Line	:	3974 NEW VISION DRIVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1712
Country	:	US
Telephone Number	:	260-471-5980
Fax Number	:	260-471-5981

Provider Business Practice Location Address
First Line	:	3974 NEW VISION DRIVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1712
Country	:	US
Telephone Number	:	260-471-5980
Fax Number	:	260-471-5981

Authorized Official
Title or Position	:	M.D./PRESIDENT
Name	:	JUDY L. ZACHER
Credential	:	M.D.
Telephone Number	:	260-471-5980

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	04/09/2009

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Directions to “WOMEN CARING FOR WOMEN ” Practice Location

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