| NPI | 1033320510 |
|---|---|
| Doing Business As | FORT WAYNE ORTHOPEDICS, LLC |
| Entity Type | Organization |
| Authorized Contact | JERALD L. COOPER M.D./President 260-436-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 50002482) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-07-20 |