FORT WAYNE VASCULAR CARE LLC

FORT WAYNE, IN
NPI1225684368
Doing Business AsNEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC
Entity TypeOrganization
Authorized ContactCHARISSE PHIPPS
Contractor
630-974-5236
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
Enumeration Date2019-08-14
Last Update Date2021-11-02
Business Address
FORT WAYNE VASCULAR CARE LLC
1833 MAGNAVOX WAY # 100
FORT WAYNE, IN 46804-1539
Phone number: 260-918-0997
Mailing Address
FORT WAYNE VASCULAR CARE LLC
PO BOX 72322
CLEVELAND, OH 44192-0002
Phone number: 630-573-5000