NPI 1114956844

David K Wysong, DPM

Practitioner Podiatrist Fort Wayne, IN

Practice location

Address: 3012 E State Blvd, Fort Wayne, IN 46805-4737
Phone: (260) 471-6830
Fax: (260) 471-6704

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 07000579 (IN)

Other Podiatrist providers in Indiana →

Registry record

NPI: 1114956844
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2006
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.