DANIEL TODD WASYLK

FORT WAYNE, IN
NPI1073973855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001783A)
Enumeration Date2016-03-07
Last Update Date2016-03-07
Business Address
Mr. DANIEL TODD WASYLK
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 260-710-1908
Mailing Address
Mr. DANIEL TODD WASYLK
11111 HOAGLAND RD
HOAGLAND, IN 46745-9582
Phone number:
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