Search › Indiana › 1041C0700X
Charles Graves
NPI 1164000394 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2500 E State Blvd
Fort Wayne, IN 46805 - Phone
- (260) 426-5431
- Fax
- (260) 421-1029
- Organisation at this address
- Marion Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 6319 Mutual Dr Ste F, Fort Wayne, IN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana