# INDIANA WOUND CARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619950185
- **Authorized official:** GAIL RYAN (OFFICE MANAGER)
- **Authorized official phone:** (260) 424-9000

## Contact information

- **Practice address:** 700 BROADWAY FL 2, FORT WAYNE, IN 46802-1402
- **Practice address phone:** (260) 424-9000
- **Practice address fax:** (260) 425-3029
- **Mailing address:** PO BOX 10493, FORT WAYNE, IN 46852-0493
- **Mailing address phone:** (260) 424-9000
- **Mailing address fax:** (260) 425-3029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 50004525A | IN | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 07/19/2010