Cardiovascular Associates of Northeastern Indiana LLC

NPI #1083684948 in Ft Wayne, Indiana

Provider Information

NPI Number: 1083684948
Entity Type: Organization
Organization Name: Cardiovascular Associates of Northeastern Indiana LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jan 24, 2006
Last Updated: Nov 28, 2011

Practice Location

Address: 7900 W JEFFERSON BLVD
Address 2: SUITE 303
City: Ft Wayne
State: Indiana
ZIP Code: 46804-4128
Phone: (260) 436-6098

Authorized Official

Name: JOHN CSICSKO, MD
Title: OWNER
Phone: (260) 436-6098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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