DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEORGE T KOLETTIS, M.D.

Active

GEORGE T KOLETTIS, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in FORT WAYNE, Indiana. NPI 1295714608 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · FORT WAYNE, IN

Registration Details

NPI Number
1295714608
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2006 (20.629518443618 yrs)
Last Updated
Nov 7, 2016
Licenses
4301062980 (MI)
01071673A (IN)
01071673A (IN)

Practice Information

Address
7601 W JEFFERSON BLVD
FORT WAYNE, IN, 468044133
Browse IN providers · Browse ZIP 46804
Phone
2604368686
Fax
2604368585
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Sports Medicine (Orthopaedic)

Other Sports Medicine (Orthopaedic) Providers in FORT WAYNE, IN

Name Credential NPI
STEVEN E FISHER M.D. 1437152469
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.