NPI 1932360468 · live from the CMS NPI Registry
David K. Wysong Dpm, PC
Podiatrist, Foot & Ankle Surgery in Fort Wayne, IN. National Provider Identifier 1932360468, active.
NPI record
| NPI | 1932360468 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3012 E State Blvd, Fort Wayne, IN 46805 |
| Practice phone | 260-471-6830 |
| Enumerated | June 18, 2008 |
| Last updated | July 2, 2008 |
| Authorized official | David Wysong, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 07000579A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.