Organization · Type 2 NPI
MGFW Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Fort Wayne, IN
NPI number
1114950292
Active
Practice location
7916 W. Jefferson Blvd., Ste 100
Fort Wayne, IN 46804
Fax (260) 434-6420
Mailing address
PO Box 2594
Fort Wayne, IN 46801-2594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1114950292
MGFW Surgery Center, LLC's National Provider Identifier is 1114950292, issued on Jul 9, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 24, 2008.