INDIANA PLASTIC SURGERY CENTER, PC is a medical specialty clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). INDIANA PLASTIC SURGERY CENTER, PC NPI is 1174861454. The provider is registered as an organization entity type.
The provider's business location address is:
10020 DUPONT CIRCLE CT
SUITE 100
FORT WAYNE, IN
ZIP 46825-620
Phone: (260) 489-0099
Fax: (260) 489-0066
The provider's authorized official is Robert N Severinac .
The authorized official title is President and has the following contact phone number (260) 489-0099.
The enumeration date for this NPI number is 1/22/2013 and was last updated on 1/22/2013.