| NPI | 1124297379 |
|---|---|
| Doing Business As | FORT WAYNE NEUROLOGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R. SMITH CEO 260-460-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |