Spine Center of Fort Wayne
NPI #1417297839 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1417297839
- Entity Type
- Organization
- Organization Name
- Spine Center of Fort Wayne
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 21, 2013
- Last Updated
- Dec 2, 2014
Practice Location
- Address
- 3417 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-4830
- Phone
- (260) 387-6218
Authorized Official
- Name
- NATHAN SERMERSHEIM, D.C.
- Title
- CHIROPRACTOR
- Phone
- (260) 387-6218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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