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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