NPI 1114919131

Paul J. Raiman, MD

Practitioner 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
Mailing address: 1234 E Dupont Rd Suite 1, Fort Wayne, IN 46825-1545

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 01034793A (IN)

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Registry record

NPI: 1114919131
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2005
Record last updated: 23 Mar 2013

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.