| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184635153 | FORT WAYNE MEDICAL EDUCATION PROGRAM | 750 BROADWAY | FORT WAYNE | IN | 468021412 | |||
| 1710301809 | BOJRAB | MICHELLE | ALISON | 750 BROADWAY | FORT WAYNE | IN | 468021411 | |
| 1487698338 | EIGNER | GREGORY | G | 750 BROADWAY | FORT WAYNE | IN | 468021412 | |
| 1932547718 | HARRIS | SEBASTIAN | M | 750 BROADWAY | FORT WAYNE | IN | 468021411 | |
| 1346655339 | PARMER | BRADEN | DOUGLAS | 750 BROADWAY | FORT WAYNE | IN | 468021411 | |
| 1154367340 | SCHWIETERMAN | STEVEN | CARL | 750 BROADWAY | FORT WAYNE | IN | 468021411 | |
| 1902842677 | WATERSON | ZACHRY | LANE | 750 BROADWAY | FORT WAYNE | IN | 468021411 | |
| 1992749485 | WILKINS | ROBERT | ERVIN | 750 BROADWAY | FORT WAYNE | IN | 468021411 |