Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Plastic Surgery Innovations, PC

Organization Plastic Surgery Physician · NPI 1275624686

Plastic Surgery Innovations, PC provides Plastic Surgery Physician services 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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