GREAT LAKES PEDIATRIC SURGEONS, INC. is a pediatric surgery surgery in Fort Wayne, IN. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. GREAT LAKES PEDIATRIC SURGEONS, INC. NPI is 1669455267. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN
ZIP 46804-182
Phone: (260) 469-7337
Fax: (260) 469-7340
The provider's authorized official is David A. Smith .
The authorized official title is President and has the following contact phone number (260) 469-7337.
The enumeration date for this NPI number is 11/29/2005 and was last updated on 3/14/2008.