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1336109867
ORTHOPAEDICS NORTHEAST, PC
DECATUR, IN
NPI
1336109867
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Entity Type
Organization
Authorized Contact
RAYMOND KUSISTO
CEO
260-484-8551
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IN 50001907A)
Enumeration Date
2006-03-27
Last Update Date
2020-08-22
Business Address
ORTHOPAEDICS NORTHEAST, PC
805 HIGH ST
DECATUR, IN 46733-2324
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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