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PETER M ROTHMAN MD

Allergy

Fort Wayne, Indiana

Provider NPI: 1982605937

Provider Information:
 PETER M ROTHMAN MD


Practice Location:
7920 W JEFFERSON BLVD SUITE 220 FORT WAYNE, IN 46804 US
Tel: 260-436-5670  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
IN01026818A

Other Provider Identifiers:

IssuerNumberStateType
100050320AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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