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1043499221
DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
FORT WAYNE, IN
NPI
1043499221
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Entity Type
Organization
Authorized Contact
ALAN GILBERT
Owner
260-423-2567
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2007-10-24
Last Update Date
2007-11-09
Business Address
DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
10620 CORPORATE DR SUITE A
FORT WAYNE, IN 46845-1711
Phone number: 260-423-2567
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Mailing Address
DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
10620 CORPORATE DR SUITE A
FORT WAYNE, IN 46845-1711
Phone number: 260-423-2567
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