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Individual

DR. SAMUEL LOUIS COREY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2510 E DUPONT RD STE 236, FORT WAYNE, IN 46825-1603
(260) 490-7111
(260) 490-2286
Mailing address
2510 E DUPONT RD STE 236, FORT WAYNE, IN 46825-1603
(260) 490-7111
(260) 490-2286

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01087348A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300086232
IN
Enumeration date
05/06/2014
Last updated
08/12/2026
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