Guy G Crevecoeur in Fort Wayne - Plastic Surgery

Guy G Crevecoeur - NPI 1124029079

Guy G Crevecoeur is a Plastic Surgery in Fort Wayne, Indiana. Guy G Crevecoeur practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Guy G Crevecoeur is 1124029079. The last update date is 2022-10-20.

Guy G Crevecoeur's current location address is 11141 Parkview Plaza Dr Ste 300, Fort Wayne, Indiana. You can contact this provider via phone number 2604907111 and fax number 2604902286. The mailing address for Guy G Crevecoeur is 11141 Parkview Plaza Dr Ste 300, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Guy G Crevecoeur
Address 11141 Parkview Plaza Dr Ste 300, Fort Wayne, Indiana
Phone Number 2604907111
Fax Number 2604902286
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124029079
Provider Enumeration Date 2005-08-02
Last Updated Date 2022-10-20

Provider Mailing Address Detail

Address 11141 Parkview Plaza Dr Ste 300
City Fort Wayne
State Indiana (IN)
Post Code 468451715
Phone Number 2604907111
Fax Number 2604902286

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 01065385A
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1580914 NY --
200901990 IN --

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FAQs about Guy G Crevecoeur

What is the unique 10-digit identification code issued to Guy G Crevecoeur by the Centers for Medicare & Medicaid Services?

The Guy G Crevecoeur has been assigned the NPI (National Provider Identifier) 1124029079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Guy G Crevecoeur is located?

The Guy G Crevecoeur is situated at the following address: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN, 468451715.

What is Guy G Crevecoeur's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Guy G Crevecoeur is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.

When did Guy G Crevecoeur receive its 1124029079 assignment?

The Guy G Crevecoeur was assigned its 1124029079 on 2005-08-02, which is the date when this unique identifier was issued to the organization.

When was the information regarding Guy G Crevecoeur, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Guy G Crevecoeur, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-10-20.

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