Dermatology and Laser Surgery Associates of Fort Wayne P.c.
NPI #1043499221 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043499221
- Entity Type
- Organization
- Organization Name
- Dermatology and Laser Surgery Associates of Fort Wayne P.c.
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 24, 2007
- Last Updated
- Nov 9, 2007
Practice Location
- Address
- 10620 CORPORATE DR
- Address 2
- SUITE A
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1711
- Phone
- (260) 423-2567
Authorized Official
- Name
- MR. ALAN GILBERT, M.D.
- Title
- OWNER
- Phone
- (260) 423-2567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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