| NPI | 1932360468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K WYSONG President 260-471-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000579A) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-07-02 |