MEDICARE: G.I. CONSULTANTS, INC.

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	174400000X	Specialist

General Provider Information

NPI Number	:	1982694675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G.I. CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	3439 HOBSON RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-1617
Country	:	US
Telephone Number	:	260-484-2524
Fax Number	:	260-482-9539

Provider Business Practice Location Address
First Line	:	3439 HOBSON RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-1617
Country	:	US
Telephone Number	:	260-484-2524
Fax Number	:	260-482-9539

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CHRISTY DEGITZ
Credential	:
Telephone Number	:	260-484-2524

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/22/2020

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