INNOVATIVE PROFESSIONAL SERVICE LLC

General Practice

Active Organization
NPI: 1679836910

Practice Address

3464 STELLHORN RD
Fort Wayne, IN 46815

Phone: (260) 432-6508

Specialties

Specialty Code Primary License
General Practice 208D00000X Yes 01025672 (IN)

Frequently Asked Questions

NPI 1679836910 is the National Provider Identifier for INNOVATIVE PROFESSIONAL SERVICE LLC, a General Practice provider located in Fort Wayne, IN. This NPI was enumerated on June 21, 2012.

Quick Facts

NPI
1679836910
Type
Organization
Enumerated
Jun 21, 2012
Last Updated
Jun 21, 2012

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