DR. JONATHAN DETOMMASO, DPM

Podiatrist - Foot & Ankle Surgery

Active Individual
NPI: 1033476304

Practice Address

7601 W JEFFERSON BLVD
Fort Wayne, IN 46804

Phone: (260) 436-8686

Specialties

Specialty Code Primary License
Podiatrist 213E00000X No 07001204A (IN)
Podiatrist - Foot & Ankle Surgery 213ES0103X Yes 07001204A (IN)

Frequently Asked Questions

NPI 1033476304 is the National Provider Identifier for DR. JONATHAN DETOMMASO, DPM, a Podiatrist - Foot & Ankle Surgery provider located in Fort Wayne, IN. This NPI was enumerated on April 11, 2012.
DR. JONATHAN DETOMMASO, DPM practices at 7601 W JEFFERSON BLVD, Fort Wayne, IN 46804.

Quick Facts

NPI
1033476304
Type
Individual
Enumerated
Apr 11, 2012
Last Updated
Nov 7, 2016

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