NPI 1013910041

Dominick Detommaso, DPM

Practitioner Foot & Ankle Surgery Podiatrist Fort Wayne, IN

Practice location

Address: 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 436-8585

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 07000410A (IN)

Other Podiatrist providers in Indiana →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 07000410A (IN)

Registry record

NPI: 1013910041
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2005
Record last updated: 22 Mar 2016

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.