Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAN MAGNO DE GUZMAN, MD
ActiveJAN MAGNO DE GUZMAN, MD is a Adolescent Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1477083848 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · FORT WAYNE, IN
Registration Details
- NPI Number
- 1477083848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2017 (9.1737946280432 yrs)
- Last Updated
- Dec 15, 2021
- License
-
01083919A (IN)
Practice Information
- Address
-
10215 AUBURN PARK DRFORT WAYNE, IN, 468252387Browse IN providers · Browse ZIP 46825
- Phone
- 2602345400
- Fax
- 2602345110
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| KHIN MAR OO | MD | 1790786127 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.