ROBERT E. WYATT

FORT WAYNE, IN
NPI1922240019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: IN  07000599A)
Enumeration Date2009-04-03
Last Update Date2009-04-03
Business Address
-- ROBERT E. WYATT D.P.M.
9134 BRADENTON RD
FORT WAYNE, IN 46835-8892
Phone number: 260-715-5906
Mailing Address
-- ROBERT E. WYATT D.P.M.
9134 BRADENTON RD
FORT WAYNE, IN 46835-8892
Phone number: 260-715-5906
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