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

JOSEPH D FORTIN, D.O.

Active

JOSEPH D FORTIN, D.O. is a Interventional Vascular Surgery healthcare provider located in FORT WAYNE, Indiana. NPI 1841292612 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · FORT WAYNE, IN

Registration Details

NPI Number
1841292612
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2005 (20.999244353264 yrs)
Last Updated
Oct 18, 2017
Licenses
02001553A (IN)
02001553A (IN)

Practice Information

Address
9502 LIMA ROAD
STE 103
FORT WAYNE, IN, 468189270
Browse IN providers · Browse ZIP 46818
Phone
2604597313
Fax
2604360628
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in FORT WAYNE, IN

Name Credential NPI
GEORGE DAVID BOJRAB MD 1891768537
DR. JARED COFFMAN MD 1053579151
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.