IndividualActive
Jan De Guzman, MD
NPI 1477083848 · Adult Medicine Physician · Fort Wayne, IN
Provider details
- NPI number
- 1477083848
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01083919A (IN)
Practice location
10215 Auburn Park Dr
Fort Wayne, IN 46825-2387
Phone: (260) 234-5400
Fax: (260) 234-5110
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Registry dates
- Enumerated
- 2017-06-18
- Last updated
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.