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

TYSON AGNEW, PA

Active

Physician Assistant · FORT WAYNE, IN

Registration Details

NPI Number
1801614524
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2024 (1.5534658526471 yrs)
Last Updated
Oct 1, 2024

Practice Information

Address
5050 N CLINTON ST
FORT WAYNE, IN, 468255886
Browse IN providers · Browse ZIP 46825
Phone
2604848551
Fax
2604825060
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT WAYNE, IN

Name Credential NPI
BRIAN T LAURSEN P.A. 1164425187
GRETCHEN L CRAMPTON P.A. 1275536211
DEBORAH S CASTILE P.A. 1699778753
MR. CHRISTOPHER A FEGLEY PA 1003814476
DARLENE K HOOVER PA-C 1184625527
JENNIFER R. HOCKEMEYER PA 1376545111
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.