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Organization

SURGERY CENTER OF FORT WAYNE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRANDON EHRET (ADMINISTRATOR)
(317) 450-5441
Entity
Organization

Contact information

Practice address
1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
(317) 450-5441
Mailing address
1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
(260) 250-0001
(260) 222-0002

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/25/2020
Last updated
04/25/2024
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