Plastic Surgery Innovations, P.c.

Specialty details in registry · Fort Wayne, IN

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At a glance

9933 Dupont Circle Dr W Ste 120, Fort Wayne, IN 46825-1629

NPPES record updated Jan 4, 2022. Public records can lag behind changes at a practice.

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Practice location

9933 Dupont Circle Dr W Ste 120
Fort Wayne, IN 46825-1629
Professional details: NPI, taxonomy & registry record
NPI1275624686
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208200000X
Enumeration date
Sep 28, 2006
Record updated
Jan 4, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208200000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

9933 Dupont Circle Dr W Ste 120
Fort Wayne, IN 46825-1629
Phone
(260) 490-4673
Fax
(260) 490-2165
Mailing address
9933 DUPONT CIRCLE DR W STE 120

FORT WAYNE, IN 468251629
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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