| NPI | 1730277583 |
|---|---|
| Other Name | FORT WAYNE DERMATOLOGY CONS INC |
| Entity Type | Organization |
| Authorized Contact | EDWARD C SARKISIAN President 260-436-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-09-27 |