Organization
NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J. RAIMAN M.D. (OWNER/PRACTITIONER)
(260) 489-8898
Entity
Organization
Contact information
Practice address
7910 W JEFFERSON BLVD, SUITE 212, FORT WAYNE, IN 46804-4159
(260) 489-8898
(260) 373-4695
Mailing address
7910 W JEFFERSON BLVD, SUITE 212, FORT WAYNE, IN 46804-4159
(260) 489-8898
(260) 373-4695
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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