NPI 1124029079

Guy G Crevecoeur, MD

Practitioner Plastic Surgery Physician Fort Wayne, IN

Practice location

Address: 11141 Parkview Plaza Dr STE 300, Fort Wayne, IN 46845-1715
Phone: (260) 490-7111
Fax: (260) 490-2286
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 01065385A (IN)

Other Plastic Surgery providers in Indiana →

Registry record

NPI: 1124029079
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2005
Record last updated: 20 Oct 2022

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.