Dr. Miroslaw A Foltyniak, M.D.
Surgery in Kendallville, IN. Individual provider (NPI-1).
NPI number1790767085
StatusActive
Last updated in NPPESMar 20, 2013
Details
- NPI
- 1790767085
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miroslaw A Foltyniak
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2005
- Last updated
- Mar 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 01038834 | IN | Yes |
Practice location
213 Fairview BlvdKendallville, IN 46755-2988
Phone 260-347-4900 · Fax 260-347-4966
Mailing address
1234 E. Dupont Rd.Suite 1
Fort Wayne, IN 46825-1545
Phone 260-373-9700 · Fax 260-373-9740
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