NPI 1679551741

Fort Wayne Cardiovascular Surgeons, PC

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

Practice location

Address: 1818 Carew St Suite 250, Fort Wayne, IN 46805-4788
Phone: (260) 483-6448
Fax: (260) 373-4167

Authorised official

Name: Douglas L Gray
Title: President
Phone: (260) 483-6448

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1679551741
Entity type: Organization
NPI issued: 9 Jan 2006
Record last updated: 22 Oct 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.