| Organization Name: | FORT WAYNE CARDIOLOGY CORPORATION |
| NPI Number: | 1669458733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND DUSMAN (CEO) |
| Mailing Address: | 11558 Sr 111 Paulding |
| State: | OH US |
| Postal Code: | 45879 |
| Phone Number: | 2604814700 |
| Fax Number: | 2604814808 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 08/09/2007 |
| NPI Reactivation Date: | 10/11/2007 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Clinical Cardiac Electrophysiology |
| Taxonomy Definition: | A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |