GREAT LAKES PEDIATRIC SURGEONS, INC.

FORT WAYNE, IN
NPI1669455267
Entity TypeOrganization
Authorized ContactDAVID A. SMITH
President
260-469-7337
Organization Subpart ?No
Primary Taxonomy2086S0120X Surgery, Pediatric Surgery
Enumeration Date2005-11-29
Last Update Date2008-03-14
Business Address
GREAT LAKES PEDIATRIC SURGEONS, INC.
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804-4182
Phone number: 260-469-7337
Mailing Address
GREAT LAKES PEDIATRIC SURGEONS, INC.
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN 46804-4182
Phone number: 260-469-7337
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