Great Lakes Pediatric Surgeons, Inc
Great Lakes Pediatric Surgeons, Inc provides Pediatric Surgery Physician services in Fort Wayne, Indiana. Registered with an NPI since 2005.
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7613 W Jefferson Blvd Ste 200Fort Wayne, IN 46804-4182 Not confirmed with CMS for 18 years — call before visiting
Phone: (260) 469-7337
Fax: (260) 469-7340
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Surgery Physician (primary) | Taxonomy 2086S0120X |
|---|
Record details
| NPI number | 1669455267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smith — President · (260) 469-7337 |
| NPI enumerated | November 29, 2005 |
| Last updated in NPPES | March 14, 2008 |
| Mailing address | 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 |
Other providers in Fort Wayne
-
Dr. William A Loe Jr., MD
11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 · (260) 425-6100
-
Paul T. Stockmann, MD
11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1707 · (260) 425-6100