Indiana Plastic Surgery Center, PC
NPI #1174861454 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1174861454
- Entity Type
- Organization
- Organization Name
- Indiana Plastic Surgery Center, PC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jan 22, 2013
- Last Updated
- Jan 22, 2013
Practice Location
- Address
- 10020 DUPONT CIRCLE CT
- Address 2
- SUITE 100
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-1620
- Phone
- (260) 489-0099
Authorized Official
- Name
- DR. ROBERT N SEVERINAC, M.D.
- Title
- PRESIDENT
- Phone
- (260) 489-0099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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