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Indiana Plastic Surgery Center, Pc
Medical Specialty Clinic/Center in Fort Wayne, Indiana
NPI 1174861454

Indiana Plastic Surgery Center, Pc is a Medical Specialty Clinic/Center based in Fort Wayne, IN and is specialized in Medical Specialty. Indiana Plastic Surgery Center, Pc practices in Fort Wayne, IN. The NPI Number for Indiana Plastic Surgery Center, Pc is 1174861454 and holds a License No. 01043388A (Indiana).

The current practice location address for Indiana Plastic Surgery Center, Pc is 10020 Dupont Circle Ct, Fort Wayne, IN and can be reached out via phone at 260-489-0099 and via fax at 260-489-0066.

Location: 10020 Dupont Circle Ct, Fort Wayne, IN, 46825-1620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174861454
Provider Name
Indiana Plastic Surgery Center, Pc
Credential
Provider Entity Type
Organization
Address
10020 Dupont Circle Ct, Fort Wayne, IN, 46825-1620
Phone Number
260-489-0099
Fax Number
260-489-0066
Provider Enumeration Date
01/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200024970 05 IN
institution
Provider Business Practice Location Address Details
Address
10020 Dupont Circle Ct
City
Fort Wayne
State
Indiana
Zip
46825-1620
Phone Number
260-489-0099
Fax Number
260-489-0066
person
Provider Business Mailing Address Details
Address
10020 Dupont Circle Ct
City
Fort Wayne
State
Indiana
Zip
46825-1620
Phone Number
260-489-0099
Fax Number
260-489-0066
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
01043388A (Indiana)
Definition
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).
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