Organization
FORT WAYNE ORTHOPAEDICS, LLC
Active
Other names
Fort Wayne Orthopedics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD L. COOPER MD (PRESIDENT)
(260) 436-8686
Entity
Organization
Contact information
Practice address
701 ORTHOPEDIC DR., WARSAW, IN 46582-3905
(260) 436-8686
(260) 436-8585
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
(260) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
09/14/2023
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