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Individual

DR. DENNIS JOHN CHUBINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
8028 CARNEGIE BLVD.,, 400, FORT WAYNE, IN 46804-5788
(260) 747-5572
(260) 747-8329
Mailing address
1234 E. DUPONT RD., 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000406A
IN
213ES0000X
Sports Medicine Podiatrist
07000406A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
07000406A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000665116
ANTHEM
IN
05
0430199
OH
05
100359070A
IN
05
100359070B
IN
01
P00895096
R.R. MEDICARE
IN
Enumeration date
08/31/2006
Last updated
12/21/2015
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