Whalio Doctors

NPI 1043499221

Dermatology and Laser Surgery Associates of Fort Wayne P.C.

Organisation Dermatology Physician Fort Wayne, IN

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
Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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.