National Provider Identifier Database

MARVIN E EASTLUND, MD – NPI #1619006772
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

MARVIN E EASTLUND, MD
5204 TATUM CT
FORT WAYNE, IN46835-4633
Phone: 260-486-9432
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for MARVIN E EASTLUND

NPI Number 1619006772
Credentials MD
Entity Individual
Enumeration date 03/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 01022999A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MARVIN E EASTLUND, MD

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