Organization · Type 2 NPI

Fort Wayne Cardiovascular Surgeon

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Fort Wayne, IN

NPI number 1790718765 Active

Practice location

11123 Parkview Plaza Dr, Suite 202
Fort Wayne, IN 46845-1707

Call (260) 483-6448 Map

Fax (260) 373-4167

Mailing address

1818 Carew Streeet, Suite 250
Fort Wayne, IN 46805

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X50000046A (IN)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1790718765

Fort Wayne Cardiovascular Surgeon's National Provider Identifier is 1790718765, issued on Jul 10, 2006. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 22, 2020.