Organization
FT WAYNE CARDIAC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL SAUER (MEMBER)
(260) 432-2297
Entity
Organization
Contact information
Practice address
7910 W JEFFERSON BLVD, STE. 120, FORT WAYNE, IN 46804-4159
(260) 432-2297
(260) 436-4380
Mailing address
PO BOX 2588, FORT WAYNE, IN 46801-2588
(260) 432-2297
(260) 436-4380
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00098221
TRAVELERS MEDICARE
IN
Enumeration date
07/28/2006
Last updated
08/22/2020
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