NPI 1043499221
Dermatology and Laser Surgery Associates of Fort Wayne P.C.
Practice location
- Address
- 10620 Corporate Dr Suite a, Fort Wayne, IN 46845-1711
- Phone
- (260) 423-2567
- Fax
- (260) 482-7445
Authorised official
- Name
- Alan Gilbert
- Title
- Owner
- Phone
- (260) 423-2567
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1043499221
- Entity type
- Organization
- NPI issued
- 24 Oct 2007
- Record last updated
- 9 Nov 2007
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.