NPI 1912998014

Northeast Indiana Colon Rectal Surgeons PC

Organisation Colon & Rectal Surgery Physician Fort Wayne, IN

Practice location

Address: 11141 Parkview Plaza Dr Suite 310, Fort Wayne, IN 46845-1701
Phone: (260) 489-8898
Fax: (260) 373-4695

Authorised official

Name: Paul J. Raiman
Title: Owner/Practitioner
Phone: (260) 489-8898

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 50004032A (IN)

Other Colon & Rectal Surgery providers in Indiana →

Registry record

NPI: 1912998014
Entity type: Organization
NPI issued: 31 Oct 2005
Record last updated: 28 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.