Marvin Eugene Eastlund in Fort Wayne - Gynecology
Marvin Eugene Eastlund - NPI 1619006772
Marvin Eugene Eastlund is a Gynecology in Fort Wayne, Indiana. Marvin Eugene Eastlund practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Marvin Eugene Eastlund is 1619006772. The last update date is 2007-07-08.
Marvin Eugene Eastlund's current location address is 5204 Tatum Ct, Fort Wayne, Indiana. You can contact this provider via phone number 2604869432. The mailing address for Marvin Eugene Eastlund is 5204 Tatum Ct, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Eugene Eastlund |
|---|---|
| Address | 5204 Tatum Ct, Fort Wayne, Indiana |
| Phone Number | 2604869432 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619006772 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5204 Tatum Ct |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468354633 |
| Phone Number | 2604869432 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 01022999A |
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Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marvin Eugene Eastlund by the Centers for Medicare & Medicaid Services?
The Marvin Eugene Eastlund has been issued the NPI (National Provider Identifier) 1619006772, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marvin Eugene Eastlund?
The Marvin Eugene Eastlund is situated at 5204 Tatum Ct, in the city of Fort Wayne, state of IN, with the zip code 468354633.
What is Marvin Eugene Eastlund's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marvin Eugene Eastlund's specialized field of practice is Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207Vg0400X.
On what date did the Marvin Eugene Eastlund receive its 1619006772 assignment from the Centers for Medicare & Medicaid Services?
The Marvin Eugene Eastlund was assigned its 1619006772 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the details related to Marvin Eugene Eastlund most recently updated or revised?
The information pertaining to Marvin Eugene Eastlund, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.