MEDICARE: DR. PAUL ARTHUR RESZEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	01063269A	IN

General Provider Information

NPI Number	:	1861774838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ARTHUR RESZEL MD

Provider Business Mailing Address
First Line	:	1618 AUTUMN RUN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-8884
Country	:	US
Telephone Number	:	226-063-7105
Fax Number	:

Provider Business Practice Location Address
First Line	:	1618 AUTUMN RUN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-8884
Country	:	US
Telephone Number	:	226-063-7105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	09/15/2011

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