Organization
SUMMIT CITY PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZOLMAN MD (CEO)
(260) 710-8660
Entity
Organization
Contact information
Practice address
9604 COLDWATER RD STE 101, FORT WAYNE, IN 46825-2096
(260) 710-8660
Mailing address
9604 COLDWATER RD STE 101, FORT WAYNE, IN 46825-2096
(260) 710-8660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
01/19/2024
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