Indiana Plastic Surgery Center, Pc

NPI 1174861454 - Clinic/Center - 261QM2500X

NPI Details
NPI 1174861454
Enumeration Date 01/22/2013
Last Updated 01/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERT N ROBERT
Position PRESIDENT
Phone (260) 489-0099
Fax (260) 489-0066
Practice Location
10020 DUPONT CIRCLE CT
SUITE 100
FORT WAYNE IN, 46825-1620, US
Phone (260) 489-0099
Fax (260) 489-0066
Business Location
10020 DUPONT CIRCLE CT
SUITE 100
FORT WAYNE IN, 46825-1620, US
Phone (260) 489-0099
Fax (260) 489-0066
Toxanomy
Taxonomy Code 261QM2500X
License State Indiana
License Number 01043388A
Remove 1174861454 NPI Number
 

According to our database, Indiana Plastic Surgery Center, Pc NPI is 1174861454, taxonomy code is 261QM2500X and license number is 01043388A, license state is located at Indiana. Indiana Plastic Surgery Center, Pc physically located at 10020 Dupont Circle Ct, Fort Wayne IN, 46825-1620. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174861454 NPI number is provided on an as is basis without warranty of any kind. 1174861454 is maintained by the National Plan & Provider Enumeration System. The contents of Indiana Plastic Surgery Center, Pc are for informational purposes only.