OrganizationActive
Colon-Rectal Surgeons of Fort Wayne, PC
NPI 1104026657 · Colon & Rectal Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1104026657
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lisa Hauschild, Business Manager
Practice location
7900 W Jefferson Blvd
Suite 302
Fort Wayne, IN 46804-4128
Phone: (260) 435-1900
Fax: (260) 435-1800
Mailing address
7900 W Jefferson Blvd
Fort Wayne, IN 46804-4128
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2007-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.