WYATT JEFFRY GOTTSCHALK

FORT WAYNE, IN
NPI1639989379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004765A)
Enumeration Date2025-01-13
Last Update Date2026-03-26
Business Address
WYATT JEFFRY GOTTSCHALK
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-248-7711
Mailing Address
WYATT JEFFRY GOTTSCHALK
3304 SHOAFF PARK RIVER DR
FORT WAYNE, IN 46835-2035
Phone number: 260-804-4346
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