Organization
NORTHEAST INDIANA COLON RECTAL SURGEONS PC
Active
Organization
NORTHEAST INDIANA COLON RECTAL SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J. RAIMAN M.D. (OWNER/PRACTITIONER)
(260) 489-8898
Entity
Organization
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 310, FORT WAYNE, IN 46845-1701
(260) 489-8898
(260) 373-4695
Mailing address
11141 PARKVIEW PLAZA DR, SUITE 310, FORT WAYNE, IN 46845-1701
(260) 489-8898
(260) 373-4695
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
50004032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053852
—
OH
Enumeration date
10/31/2005
Last updated
02/28/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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