# FT WAYNE CARDIAC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295749117
- **Authorized official:** MR. JOEL SAUER (MEMBER)
- **Authorized official phone:** (260) 432-2297

## Contact information

- **Practice address:** 7910 W JEFFERSON BLVD, STE. 120, FORT WAYNE, IN 46804-4159
- **Practice address phone:** (260) 432-2297
- **Practice address fax:** (260) 436-4380
- **Mailing address:** PO BOX 2588, FORT WAYNE, IN 46801-2588
- **Mailing address phone:** (260) 432-2297
- **Mailing address fax:** (260) 436-4380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/22/2020