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Search › Indiana › 101YM0800X

Jack Miller

NPI 1528587680 · on the registry since 2017

Practice

Address
909 E State Blvd
Fort Wayne, IN 46805
Phone
(260) 482-9125
Organisation at this address
Park Center Inc
Park Center Inc
Park Center, Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
274

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2017-09-11

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