OrganizationActive
Ear, Nose & Throat Associates, PC
NPI 1619954468 · Otolaryngology Physician · Bluffton, IN
Provider details
- NPI number
- 1619954468
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kenn Van Der Weele, Ceo
- License
- 50000001A (IN)
Practice location
1169 N Main St
Suite 5
Bluffton, IN 46714-1360
Phone: (260) 827-4368
Fax: (260) 827-4370
Mailing address
10021 Dupont Circle Ct
Fort Wayne, IN 46825-1604
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.