CHRISTOPHER ROBERT VITALE

FORT WAYNE, IN
NPI1679884068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  02004802A)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: MI  5101018805)
207X00000X Orthopaedic Surgery
(Licence: CA  20A14021)
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: IN  02004802A)
Enumeration Date2010-06-30
Last Update Date2018-10-23
Business Address
CHRISTOPHER ROBERT VITALE D.O.
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
CHRISTOPHER ROBERT VITALE D.O.
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551