Fort Wayne Dermatology Cons. Inc.

NPI 1730277583 - Specialist - 174400000X

NPI Details
NPI 1730277583
Enumeration Date 10/10/2006
Last Updated 10/18/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD C EDWARD
Position PRESIDENT
Phone (260) 436-8000
Fax (260) 432-5587
Practice Location
5750 FALLS DR
FORT WAYNE IN, 46804-7147, US
Phone (260) 436-8000
Fax (260) 432-5587
Business Location
5750 FALLS DR
FORT WAYNE IN, 46804-7147, US
Phone (260) 436-8000
Fax (260) 432-5587
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01046000A
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According to our database, Fort Wayne Dermatology Cons. Inc. NPI is 1730277583, taxonomy code is 174400000X and license number is 01046000A, license state is located at Indiana. Fort Wayne Dermatology Cons. Inc. physically located at 5750 Falls Dr, Fort Wayne IN, 46804-7147. NPI Number 1033115704 has the healthcare provider type.

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1730277583 NPI number is provided on an as is basis without warranty of any kind. 1730277583 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Wayne Dermatology Cons. Inc. are for informational purposes only.