institution
David K. Wysong Dpm, Pc
Foot & Ankle Surgery Podiatrist in Fort Wayne, Indiana
NPI 1932360468

David K. Wysong Dpm, Pc is a Foot & Ankle Surgery Podiatrist based in Fort Wayne, IN and is specialized in Foot & Ankle Surgery. David K. Wysong Dpm, Pc practices in Fort Wayne, IN. The NPI Number for David K. Wysong Dpm, Pc is 1932360468 and holds a License No. 07000579A (Indiana).

The current practice location address for David K. Wysong Dpm, Pc is 3012 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-471-6830 and via fax at 260-471-6704.

Location: 3012 E State Blvd, Fort Wayne, IN, 46805-4737
institution
Provider Profile Details
NPI Number
1932360468
Provider Name
David K. Wysong Dpm, Pc
Credential
Provider Entity Type
Organization
Address
3012 E State Blvd, Fort Wayne, IN, 46805-4737
Phone Number
260-471-6830
Fax Number
260-471-6704
Provider Enumeration Date
06/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480033834 01 IN RAILROAD MEDICARE
100081210 05 IN
institution
Provider Business Practice Location Address Details
Address
3012 E State Blvd
City
State
Zip
46805-4737
Phone Number
260-471-6830
Fax Number
260-471-6704
person
Provider Business Mailing Address Details
Address
3012 E State Blvd
City
State
Zip
46805-4737
Phone Number
260-471-6830
Fax Number
260-471-6704
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000579A (Indiana)
Definition
Definition to come...
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