David K Wysong is a Podiatrist in Fort Wayne, Indiana. David K Wysong practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for David K Wysong is 1114956844. The last update date is 2008-06-13.
David K Wysong's current location address is 3012 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604716830 and fax number 2604716704. The mailing address for David K Wysong is 3012 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David K Wysong |
|---|---|
| Address | 3012 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604716830 |
| Fax Number | 2604716704 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1114956844 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 3012 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054737 |
| Phone Number | 2604716830 |
| Fax Number | 2604716704 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 7000579 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100081210 | IN | -- |
Post Comment/ Review Below
What is the David K Wysong's unique identification number?
The David K Wysong has been assigned the NPI (National Provider Identifier) Number 1114956844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where David K Wysong is located?
The David K Wysong is situated at the following address: 3012 E State Blvd, Fort Wayne, IN, 468054737.
What is David K Wysong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David K Wysong is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the David K Wysong receive its 1114956844 assignment from the Centers for Medicare & Medicaid Services?
The David K Wysong was assigned its 1114956844 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the David K Wysong's information last updated?
The David K Wysong's information was last updated on 2008-06-13.