Organization · Type 2 NPI
Indiana Plastic Surgery Center, PC
Medical Specialty Clinic/Center · Fort Wayne, IN
Practice location
10020 Dupont Circle Ct, Suite 100
Fort Wayne, IN 46825-1620
Fax (260) 489-0066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 01043388A (IN) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3 other providers at this address
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About NPI 1174861454
Indiana Plastic Surgery Center, PC's National Provider Identifier is 1174861454, issued on Jan 22, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 22, 2013.