Indiana Plastic Surgery Center, PC
Indiana Plastic Surgery Center, PC is a Medical Specialty Clinic/Center in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.
- Licensed in
- IN
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10020 Dupont Circle Ct Ste 100Fort Wayne, IN 46825-1620
Phone: (260) 489-0099
Fax: (260) 489-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 01043388A (IN) |
|---|
Record details
| NPI number | 1174861454 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Severinac — President · (260) 489-0099 |
| NPI enumerated | January 22, 2013 |
| Last updated in NPPES | January 22, 2013 |
| Mailing address | 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825-1620 |
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