NPI 1104026657

Colon-Rectal Surgeons of Fort Wayne, PC

Organisation Colon & Rectal Surgery Physician Fort Wayne, IN

Practice location

Address: 7900 W Jefferson Blvd Suite 302, Fort Wayne, IN 46804-4128
Phone: (260) 435-1900
Fax: (260) 435-1800

Authorised official

Name: Lisa Hauschild
Title: Business Manager
Phone: (260) 609-3734

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Indiana →

Registry record

NPI: 1104026657
Entity type: Organization
NPI issued: 23 Jul 2007
Record last updated: 23 Jul 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.