Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE A WAFLART, M.D.
ActiveSports Medicine (EM) · JASPER, IN
Registration Details
- NPI Number
- 1316039498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.564795022226 yrs)
- Last Updated
- Jun 23, 2010
- License
-
01027456A (IN)
Practice Information
- Address
-
800 W 9TH STJASPER, IN, 475462514Browse IN providers · Browse ZIP 47546
- Phone
- 8124815750
- Fax
- 8124815763
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.