INDIANA PLASTIC SURGERY CENTER, PC

FORT WAYNE, IN
NPI1174861454
Entity TypeOrganization
Authorized ContactROBERT N SEVERINAC
President
260-489-0099
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center Medical Specialty
(Licence: IN  01043388A)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
INDIANA PLASTIC SURGERY CENTER, PC
10020 DUPONT CIRCLE CT SUITE 100
FORT WAYNE, IN 46825-1620
Phone number: 260-489-0099
Mailing Address
INDIANA PLASTIC SURGERY CENTER, PC
10020 DUPONT CIRCLE CT SUITE 100
FORT WAYNE, IN 46825-1620
Phone number: 260-489-0099
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