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Contact Information

GEORGE T KOLETTIS, MD
7601 W JEFFERSON BLVD
FORT WAYNE, IN46804-4133
 Phone: 260-436-8686
 Fax: 260-436-8585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GEORGE T KOLETTIS · (Male)

NPI Number 1295714608
Status Active
Credentials MD
Entity Individual
Enumeration date 01/13/2006
Last updated 11/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01071673A
  • MI License # 4301062980
  • IN Medicaid 201117660
  • Other 000000784327 ANTHEM
  • Other P01128176 RAILROAD MEDICARE
Hospital affiliation(s)
  • ADAMS MEMORIAL HOSPITAL - (Critical Access)
    1100 MERCER AVE
    DECATUR, IN 46733
  • DUPONT HOSPITAL LLC - (Acute Care)
    2520 E DUPONT RD
    FORT WAYNE, IN 46825
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
  • THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR - (Acute Care)
    7952 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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