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1245664184
TYLER LYLE WARNECKE
FORT WAYNE, IN
NPI
1245664184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001793A)
Enumeration Date
2013-08-28
Last Update Date
2020-09-30
Business Address
TYLER LYLE WARNECKE PA
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804-4159
Phone number: 260-435-7612
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Mailing Address
TYLER LYLE WARNECKE PA
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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