Pediatrics Center of Fort Wayne, PC
Pediatrics Center of Fort Wayne, PC provides Pediatrics Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3030 Lake Ave #25AFort Wayne, IN 46805-5428
Phone: (260) 422-4096
Fax: (260) 424-2551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 10137509 (IN) |
|---|
Record details
| NPI number | 1568595999 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elizabeth Fedoriw — Office Administrator · (260) 422-4096 |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3030 Lake Ave, 25a, Fort Wayne, IN 46805-5428 |
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