NORTHEAST INDIANA COLON RECTAL SURGEONS PC NPI 1912998014

NPI Information

NORTHEAST INDIANA COLON RECTAL SURGEONS PC is a colon rectal surgery in Fort Wayne, IN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NORTHEAST INDIANA COLON RECTAL SURGEONS PC NPI is 1912998014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11141 PARKVIEW PLAZA DR
SUITE 310
FORT WAYNE, IN
ZIP 46845-701
Phone: (260) 489-8898
Fax: (260) 373-4695

The provider's authorized official is Paul J. Raiman .
The authorized official title is Owner/practitioner and has the following contact phone number (260) 489-8898.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 2/28/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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