IndividualActive
Tianli Du, MD
NPI 1205217148 · Trauma Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1205217148
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01091750A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128
Phone: (260) 458-3610
Fax: (260) 458-3611
Approximate (ZIP-level) locationGet directions
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.