Individual provider · Type 1 NPI
George T. Kolettis, MD
Adult Reconstructive Orthopaedic Surgery Physician · Fort Wayne, IN
Practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Fax (260) 436-8585
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301062980 (MI) |
| Orthopaedic Surgery Physician | 207X00000X | 01071673A (IN) |
| Adult Reconstructive Orthopaedic Surgery Physician Primary | 207XS0114X | 01071673A (IN) |
Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
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About NPI 1295714608
George T. Kolettis, MD's National Provider Identifier is 1295714608, issued on Jan 13, 2006. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 7, 2016.