Search › Indiana › 363L00000X
Carmen Stoller
NPI 1215609821 · on the registry since 2021
Practice
- Address
- 1909 Carew St
Fort Wayne, IN 46805 - Phone
- (260) 481-2800
- Fax
- (260) 969-8442
- Organisation at this address
- Park Center Inc
Genoa Healthcare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1720 Beacon St, Fort Wayne, IN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-17
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