Whalio Doctors

NPI 1033120969

Robert Nicholas Severinac, MD

Practitioner Plastic Surgery Physician Fort Wayne, IN

Practice location

Address
10020 Dupont Circle CT Suite 100, Fort Wayne, IN 46825-1620
Phone
(260) 489-0099
Fax
(260) 489-0066

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 01043388A (IN)

Registry record

NPI
1033120969
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Aug 2006
Record last updated
8 Jul 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.