institution
Great Lakes Pediatric Surgeons, Inc.
Pediatric Surgery Physician in Fort Wayne, Indiana
NPI 1669455267

Great Lakes Pediatric Surgeons, Inc. is a Pediatric Surgery Physician based in Fort Wayne, IN and is specialized in Pediatric Surgery. Great Lakes Pediatric Surgeons, Inc. practices in Fort Wayne, IN. The NPI Number for Great Lakes Pediatric Surgeons, Inc. is 1669455267 and holds a License No. (Indiana).

The current practice location address for Great Lakes Pediatric Surgeons, Inc. is 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN and can be reached out via phone at 260-469-7337 and via fax at 260-469-7340.

Location: 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN, 46804-4182
institution
Provider Profile Details
NPI Number
1669455267
Provider Name
Great Lakes Pediatric Surgeons, Inc.
Credential
Provider Entity Type
Organization
Address
7613 W Jefferson Blvd Ste 200, Fort Wayne, IN, 46804-4182
Phone Number
260-469-7337
Fax Number
260-469-7340
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7613 W Jefferson Blvd Ste 200
City
State
Zip
46804-4182
Phone Number
260-469-7337
Fax Number
260-469-7340
person
Provider Business Mailing Address Details
Address
7613 W Jefferson Blvd Ste 200
City
State
Zip
46804-4182
Phone Number
260-469-7337
Fax Number
260-469-7340
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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