Organization
AESTHETIC MEDICINE CONSULTING PC
Active
Other names
Summit Plastic Surgery, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LOUIS COREY II MD (PRESIDENT)
(260) 490-7111
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD STE 236, FORT WAYNE, IN 46825-1603
(260) 490-7111
(260) 490-2286
Mailing address
2510 E DUPONT RD STE 236, FORT WAYNE, IN 46825-1603
(260) 490-7111
(260) 490-2286
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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