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General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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SUMMIT PLASTIC SURGERY, PC

Surgery Yellow Pages

Fort Wayne, Indiana

Provider NPI: 1194701664

Organization Information:
Organization Name:  SUMMIT PLASTIC SURGERY, PC


Practice Location:
7920 W JEFFERSON BLVD STE 200  FORT WAYNE, IN 46804 US
Tel: 260-490-7111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery

Other Provider Identifiers:

IssuerNumberStateType
200375290AIN05
2289394OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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