NPI 1003813692
Cardiosom of Ft. Wayne, INC
Practice location
- Address
- 1625 Magnavox Way, Ft Wayne, IN 46804-1535
- Phone
- (888) 857-5337
- Fax
- (260) 459-9247
- Mailing address
- 615 W Carmel Dr STE 100, Carmel, IN 46032-5504
Authorised official
- Name
- Kevin Paul Greisl
- Title
- President
- Phone
- (317) 706-1080
Registered specialties
Oxygen Equipment & Supplies (DME)
Primary
Registry record
- NPI
- 1003813692
- Entity type
- Organization
- NPI issued
- 28 Jun 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.