SUSAN ANNE WALSTRA

FORT WAYNE, IN
NPI1790076453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IN  01034161A)
Enumeration Date2011-04-28
Last Update Date2011-04-28
Business Address
Dr. SUSAN ANNE WALSTRA M.D.
4601 HEATHERWIND DR APT. D
FORT WAYNE, IN 46815-7135
Phone number: 260-420-1433
Mailing Address
Dr. SUSAN ANNE WALSTRA M.D.
4601 HEATHERWIND DR APT. D
FORT WAYNE, IN 46815-7135
Phone number: 260-420-1433
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