Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT LAKES PEDIATRIC SURGEONS, INC.
Active OrganizationGREAT LAKES PEDIATRIC SURGEONS, INC. is a Pediatric Surgery organization located in FORT WAYNE, Indiana. NPI 1669455267 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · FORT WAYNE, IN
Registration Details
- NPI Number
- 1669455267
- Provider Type
- Organization
- NPI Issued
- Nov 29, 2005 (20.722509239534 yrs)
- Last Updated
- Mar 14, 2008
Practice Information
- Address
-
7613 W JEFFERSON BLVD STE 200FORT WAYNE, IN, 468044182Browse IN providers · Browse ZIP 46804
- Phone
- 2604697337
- Fax
- 2604697340
- Primary Specialty
-
Pediatric Surgery
2086S0120X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.