| NPI | 1982060190 |
|---|---|
| Other Name | FORT WAYNE ORTHOPEDICS, LLC |
| Entity Type | Organization |
| Authorized Contact | JERALD L. COOPER President 260-436-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2023-09-14 |