Organization
SUMMIT SPINE & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN D KAPLANSKY MD (PRESIDENT)
(260) 489-5446
Entity
Organization
Contact information
Practice address
3828 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 489-5446
(260) 489-6997
Mailing address
3828 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 489-5446
(260) 489-6997
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8766
MEDICARE RAILROAD
IN
Enumeration date
04/12/2006
Last updated
12/29/2010
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