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1043270002
ORTHOPAEDICS NORTHEAST, PC
FORT WAYNE, IN
NPI
1043270002
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Entity Type
Organization
Authorized Contact
RAYMOND KUSISTO
CEO
260-484-8551
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2006-03-24
Last Update Date
2008-04-02
Business Address
ORTHOPAEDICS NORTHEAST, PC
7920 W JEFFERSON BLVD SUITE 210
FORT WAYNE, IN 46804-4168
Phone number: 260-484-8551
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Mailing Address
ORTHOPAEDICS NORTHEAST, PC
5050 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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