NPI 1558549352
Northeast Indiana Urology PC
Practice location
- Address
- 333 N Oak St Lehmberg Bldg, Columbia City, IN 46725-1600
- Phone
- (260) 436-6667
- Fax
- (260) 469-7437
- Mailing address
- 2512 E. Dupont Rd Suite 100, Fort Wayne, IN 46825
Authorised official
- Name
- David Pollifrone
- Title
- MD
- Phone
- (260) 436-6667
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1558549352
- Entity type
- Organization
- NPI issued
- 4 Feb 2008
- Record last updated
- 4 Feb 2008
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.