Three Rivers Dermatology, LLC
Three Rivers Dermatology, LLC is a Specialist in Fort Wayne, Indiana. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5650 Coventry LnFort Wayne, IN 46804-7140
Phone: (260) 436-9696
Fax: (260) 436-9424
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1992991475 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Sassmannshausen — Ceo/Owner · (260) 436-9696 |
| Other names | Three Rivers Dermatology; Three Rivers Dermatology |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | June 12, 2020 |
| Certification date | June 12, 2020 |
| Mailing address | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
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