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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Foot & Ankle Surgery · FORT WAYNE, IN

Registration Details

NPI Number
1497465108
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2022 (3.376036457432 yrs)
Last Updated
Dec 5, 2022

Practice Information

Address
14903 SANDSTONE DR
FORT WAYNE, IN, 468148888
Browse IN providers · Browse ZIP 46814
Phone
2602490409
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in FORT WAYNE, IN

Name Credential NPI
MRS. TINA BENSON 1316598964
TIMEKA WASHINGTON 1427781392
DR. JUAN DEON WILLIAMS 1003542937
SHIRA KAHLIAH JOHNSON 1043054091
DIAGENTRY L LEWIS 1316776180
MAUNG A HTOON 1205668324
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.