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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY E GLADD, M.D.

Deactivated

DR. JEFFREY E GLADD, M.D. is a Family Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1780685768 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · FORT WAYNE, IN

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1780685768
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2005 (0.63287671232877 yrs)
Last Updated
Sep 22, 2009
Deactivated
Mar 21, 2006
License
01056652 (IN)

Practice Information

Address
1234 E DUPONT RD
SUITE 3
FORT WAYNE, IN, 468251545
Browse IN providers · Browse ZIP 46825
Phone
2603739965
Fax
2604585664
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FORT WAYNE, IN

Name Credential NPI
DR. JOSEPH ROBERT HUGUENARD MD 1598767782
TODD ROBERT PAGE MD 1184622367
LYNN VAN VALER FAUR MD 1326047721
DENISE M SMITH DO 1912907445
WILLIAM D GOUDY D.O. 1568462935
,BIRUTE L PUMPUTIS MD 1326048455
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.