Individual
DR. GEORGE ROBERT KOLETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01096230A
IN
Other
Enumeration date
04/11/2019
Last updated
11/13/2025
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