Three Rivers Dermatology, Llc

  • 1992991475 NPI Number
  • |
  • Actived: 12 years ago
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According to our database, NPI number for Three Rivers Dermatology, Llc is 1992991475 and actived since Wednesday, September 19 2007. Three Rivers Dermatology, Llc is an Organization provider specializes in Specialist. Provider information was last updated on 01/26/2011.

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Overview of Three Rivers Dermatology, Llc

  • NPI number: 1346881877
  • Provider type: Organization
  • Specialty: Specialist
  • Active since: 09/19/2007
  • Last updated: 01/26/2011

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 5650 Coventry Ln
    Fort Wayne, IN 46804
  • Phone: 260-436-9696
  • Fax: 260-436-9424

Provider Practice Location

  • Address: 5650 Coventry Ln
    Fort Wayne, IN 46804
  • Phone: 260-436-9696
  • Fax: 260-436-9424

Authorized Official

  • Name: DR. Jeffrey Walter Sassmannshausen M.D.
  • Position/Title: Ceo/owner
  • Telephone Number: 260-436-9696

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Three Rivers Dermatology, Llc?
  • A: The npi number for Three Rivers Dermatology, Llc is 1992991475.
  • Q: What are Three Rivers Dermatology, Llc's specialties?
  • A: Three Rivers Dermatology, Llc's specialties are Specialist and different specialities.
  • Q: Where is Three Rivers Dermatology, Llc business practice location?
  • A: Three Rivers Dermatology, Llc business practice location is 5650 Coventry Ln, Fort Wayne, IN 46804.
  • Q: How to contact Three Rivers Dermatology, Llc?
  • A: You can contact Three Rivers Dermatology, Llc via 260-436-9696.
  • Q: What is the authorized official for Three Rivers Dermatology, Llc?
  • A: The authorized office name is DR. Jeffrey Walter Sassmannshausen M.D. with position/title is Ceo/owner and you can reach the authorized official via phone number 2604369696.