Orthopaedics Northeast PC
NPI #1043270002 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043270002
- Entity Type
- Organization
- Organization Name
- Orthopaedics Northeast PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 24, 2006
- Last Updated
- Mar 27, 2025
Practice Location
- Address
- 8202 GLENCARIN BLVD STE 300
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-5783
- Phone
- (260) 484-8551
Authorized Official
- Name
- RAYMOND KUSISTO
- Title
- CEO
- Phone
- (260) 484-8551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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