David K. Wysong Dpm, Pc in Fort Wayne - Foot & Ankle Surgery

David K. Wysong Dpm, Pc - NPI 1932360468

David K. Wysong Dpm, Pc is a Foot & Ankle Surgery in Fort Wayne, Indiana. David K. Wysong Dpm, Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for David K. Wysong Dpm, Pc is 1932360468. The last update date is 2008-07-02.

David K. Wysong Dpm, Pc'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 Dpm, Pc is 3012 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization David K. Wysong Dpm, Pc
Address 3012 E State Blvd, Fort Wayne, Indiana
Phone Number 2604716830
Fax Number 2604716704
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wysong K David
Credentials DPM
Telephone Number 2604716830

NPI Number Detail

NPI Number 1932360468
Provider Enumeration Date 2008-06-18
Last Updated Date 2008-07-02

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 Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 07000579A
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480033834 IN RAILROAD MEDICARE
100081210 IN --

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FAQs about David K. Wysong Dpm, Pc

What is the unique 10-digit identification code issued to David K. Wysong Dpm, Pc by the Centers for Medicare & Medicaid Services?

The David K. Wysong Dpm, Pc has been assigned the NPI (National Provider Identifier) 1932360468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of David K. Wysong Dpm, Pc?

The David K. Wysong Dpm, Pc is physically situated at 3012 E State Blvd, in the city of Fort Wayne, state of IN, with the postal code 468054737.

What is the area of specialization for David K. Wysong Dpm, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David K. Wysong Dpm, Pc is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.

On what date did the David K. Wysong Dpm, Pc receive its 1932360468 assignment from the Centers for Medicare & Medicaid Services?

The David K. Wysong Dpm, Pc was assigned its 1932360468 by the Centers for Medicare & Medicaid Services on 2008-06-18.

When was the information regarding David K. Wysong Dpm, Pc most recently updated?

The details pertaining to the David K. Wysong Dpm, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-02.

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