# SUMMIT SPINE & SPORTS MEDICINE, PC

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

## Provider details

- **NPI number:** 1831153568
- **Authorized official:** BRYAN D KAPLANSKY MD (PRESIDENT)
- **Authorized official phone:** (260) 489-5446

## Contact information

- **Practice address:** 3828 NEW VISION DR, FORT WAYNE, IN 46845-1708
- **Practice address phone:** (260) 489-5446
- **Practice address fax:** (260) 489-6997
- **Mailing address:** 3828 NEW VISION DR, FORT WAYNE, IN 46845-1708
- **Mailing address phone:** (260) 489-5446
- **Mailing address fax:** (260) 489-6997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 12/29/2010