Organization
FITZGERALD ORTHOPAEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FITZGERALD JR. M.D. (PRESIDENT OWNER)
(260) 728-3849
Entity
Organization
Contact information
Practice address
203 N 12TH ST, DECATUR, IN 46733-1554
(260) 728-3849
(260) 728-3860
Mailing address
203 N 12TH ST, DECATUR, IN 46733-1554
(260) 728-3849
(260) 728-3860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
50004600
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265413702
PROVIDER NPI NUMBER
IN
Enumeration date
11/10/2005
Last updated
04/20/2008
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