Organization
SUMMIT CITY PROSTHETICS & ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN DEE BROWN CPO (PRESIDENT)
(260) 312-1746
Entity
Organization
Contact information
Practice address
2410 N GLENDALE DR STE C, FORT WAYNE, IN 46804-8909
(260) 312-1746
Mailing address
2410 N GLENDALE DR STE C, FORT WAYNE, IN 46804-8909
(260) 312-1746
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
04/29/2026
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