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

NORTHEAST INDIANA COLON RECTAL SURGEONS PC

Active Organization

NORTHEAST INDIANA COLON RECTAL SURGEONS PC is a Colon & Rectal Surgery organization located in FORT WAYNE, Indiana. NPI 1912998014 is currently active in the NPPES registry. Verify at CMS.

Colon & Rectal Surgery · FORT WAYNE, IN

Registration Details

NPI Number
1912998014
Provider Type
Organization
NPI Issued
Oct 31, 2005 (20.808602034142 yrs)
Last Updated
Feb 28, 2008
License
50004032A (IN)

Practice Information

Address
11141 PARKVIEW PLAZA DR
SUITE 310
FORT WAYNE, IN, 468451701
Browse IN providers · Browse ZIP 46845
Phone
2604898898
Fax
2603734695
Primary Specialty
Colon & Rectal Surgery
208C00000X
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.