Dominick Detommaso D.P.M.

NPI 1013910041 - Podiatrist - 213ES0103X

NPI Details
NPI 1013910041
Gender Male
Enumeration Date 05/23/2005
Last Updated 03/22/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
7601 W JEFFERSON BLVD
FORT WAYNE IN, 46804-4133, US
Phone (260) 436-8686
Fax (260) 436-8585
Business Location
7601 W JEFFERSON BLVD
FORT WAYNE IN, 46804-4133, US
Phone (260) 436-8686
Fax (260) 432-5075
Toxanomy
Taxonomy Code 213ES0103X
License State Indiana
License Number 07000410A
Remove 1013910041 NPI Number
 

According to our database, Dr. Dominick Detommaso D.P.M. NPI is 1013910041, taxonomy code is 213ES0103X and license number is 07000410A, license state is located at Indiana. Dominick Detommaso D.P.M. physically located at 7601 W Jefferson Blvd, Fort Wayne IN, 46804-4133. NPI Number Dominick Detommaso D.P.M. has the Individual type.

Sponsored links

1013910041 NPI number is provided on an as is basis without warranty of any kind. 1013910041 is maintained by the National Plan & Provider Enumeration System. The contents of Dominick Detommaso D.P.M. are for informational purposes only.