NPI 1477555225

Alan C Peterson, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Fort Wayne, IN

Practice location

Address: 7910 W Jefferson Blvd Suite 102, Fort Wayne, IN 46804-4159
Phone: (260) 432-2297
Fax: (260) 434-6420
Mailing address: 6920 Pointe Inverness Way STE 200, Fort Wayne, IN 46804-7934

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 01031812A (IN)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Indiana →

Registry record

NPI: 1477555225
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 29 Sep 2020

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.