Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Plastic Surgery Innovations, PC

Organization Plastic Surgery Physician · NPI 1275624686

Plastic Surgery Innovations, PC is a Plastic Surgery Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9933 Dupont Circle Dr W Ste 120
Fort Wayne, IN 46825-1629
Phone: (260) 490-4673
Fax: (260) 490-2165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X (IN)

Record details

NPI number1275624686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Mlakar — President/Owner/Physician · (260) 490-4673
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing address9933 Dupont Circle Dr W Ste 120, Fort Wayne, IN 46825-1629

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