Marvin Eugene Eastlund, M.D. Valid NPI

Individual provider · Gynecology Physician · Fort Wayne, IN

NPI

1619006772

Type

Individual (Type 1)

Primary specialty

Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207VG0400X

License number

01022999A (IN)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-05

Last updated

2007-07-08