OrganizationActive
Dermatology and Laser Surgery Associates of Fort Wayne P.C.
NPI 1043499221 · Dermatology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1043499221
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Alan Gilbert, Owner
Practice location
10620 Corporate Dr
Suite a
Fort Wayne, IN 46845-1711
Phone: (260) 423-2567
Fax: (260) 482-7445
Mailing address
10620 Corporate Dr
Fort Wayne, IN 46845-1711
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2007-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.