Organization
DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
Active
Organization
DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GILBERT M.D. (OWNER)
(260) 423-2567
Entity
Organization
Contact information
Practice address
10620 CORPORATE DR, SUITE A, FORT WAYNE, IN 46845-1711
(260) 423-2567
(260) 482-7445
Mailing address
10620 CORPORATE DR, SUITE A, FORT WAYNE, IN 46845-1711
(260) 423-2567
(260) 482-7445
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
11/09/2007
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