INNOVATIVE PROFESSIONAL SERVICE LLC

General Practice Physician · FORT WAYNE, IN

Organization Active NPI 1679836910

Taxonomy & licensure

Specialty	Code	Primary	License	State
General Practice Physician	208D00000X	✓	01025672	IN

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.