Dr. George Robert Kolettis, MD
Orthopaedic Surgery in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1083177422
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1083177422
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Robert Kolettis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2019
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 01096230A | IN | Yes |
Practice location
7601 W Jefferson BlvdFort Wayne, IN 46804-4133
Phone 260-436-8686
Mailing address
Po Box 2526Fort Wayne, IN 46801-2526
Phone 260-436-8686
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