Organization · Type 2 NPI
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
Ambulatory Surgical Clinic/Center · Fort Wayne, IN
NPI number
1992395388
Active
Practice location
4105 Dicke Road
Fort Wayne, IN 46804
Mailing address
950 N Meridian St Ste 910
Indianapolis, IN 46204-1077
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 1992395388
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's National Provider Identifier is 1992395388, issued on Jan 20, 2021. 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 Aug 5, 2025.