Individual
AYDIN T. KIZILISIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 W JEFFERSON BLVD, SUITE 200, FORT WAYNE, IN 46804-4159
(260) 435-6275
(260) 435-6279
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: BARB COPELAND, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
01062836A
IN
208600000X
Surgery Physician
Primary
01062836A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200861790
—
IN
Enumeration date
10/25/2006
Last updated
07/25/2025
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