Fort Wayne Orthopaedics, LLC

NPI #1043527781 in Coldwater, Michigan

Provider Information

NPI Number: 1043527781
Entity Type: Organization
Organization Name: Fort Wayne Orthopaedics, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 1, 2010
Last Updated: Sep 1, 2010

Practice Location

Address: 410 N WILLOWBROOK RD
City: Coldwater
State: Michigan
ZIP Code: 49036-9462
Phone: (260) 436-8686

Authorized Official

Name: MR. JERALD L COOPER, M.D,
Title: PRESIDENT
Phone: (260) 436-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X
Podiatrist	213E00000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Physician Assistant	363A00000X
Orthopaedic Surgery	207X00000X	Primary

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