Orthopaedics Northeast, PC
NPI #1154380749 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1154380749
- Entity Type
- Organization
- Organization Name
- Orthopaedics Northeast, PC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7232 ENGLE RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-2222
- Phone
- (260) 484-8551
Authorized Official
- Name
- RAYMOND KUSISTO
- Title
- CEO
- Phone
- (260) 484-8551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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