NPI 1356544308

Melmar LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Fort Wayne, IN

Practice location

Address: 2410 N Glendale Dr Suite C, Fort Wayne, IN 46804-8908
Phone: (260) 432-7654
Fax: (260) 432-7709

Authorised official

Name: Marcus a Jimenez
Title: Coo
Phone: (260) 432-7654

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 01043881A (IN)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Indiana →

Registry record

NPI: 1356544308
Entity type: Organization
NPI issued: 7 Jun 2007
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.