IndividualActive
Guy Crevecoeur, MD
NPI 1124029079 · Plastic Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1124029079
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01065385A (IN)
Practice location
11141 Parkview Plaza Dr Ste 300
Fort Wayne, IN 46845-1715
Phone: (260) 490-7111
Fax: (260) 490-2286
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.