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MIDWEST FERTILITY SPECIALISTS NPI 1215948971


NPI Information

NPI: 1215948971
Provider Name: MIDWEST FERTILITY SPECIALISTS
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 15D0914611

Address:
2514 EAST DUPONT ROAD
SUITE 220
FORT WAYNE, IN
ZIP 46825
Phone: (260) 490-3456
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MIDWEST FERTILITY SPECIALISTS is a reproductive endocrinology obstetrics gynecology in Fort Wayne, IN. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. MIDWEST FERTILITY SPECIALISTS NPI is 1215948971. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2514 EAST DUPONT ROAD
SUITE 220
FORT WAYNE, IN
ZIP 46825
Phone: (260) 490-3456
Fax: (260) 490-4319

The provider's authorized official is John J Kolodzej .
The authorized official title is Administrator and has the following contact phone number (317) 571-1637.

The CLIA number assigned to this NPI record is 15D0914611 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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