Cardiosom of Ft. Wayne, INC

NPI #1003813692 in Ft Wayne, Indiana

Provider Information

NPI Number: 1003813692
Entity Type: Organization
Organization Name: Cardiosom of Ft. Wayne, INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jun 28, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1625 MAGNAVOX WAY
City: Ft Wayne
State: Indiana
ZIP Code: 46804-1535
Phone: (888) 857-5337

Authorized Official

Name: MR. KEVIN PAUL GREISL
Title: PRESIDENT
Phone: (317) 706-1080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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