# DAVID K. WYSONG DPM, PC

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

## Provider details

- **NPI number:** 1932360468
- **Authorized official:** DR. DAVID K WYSONG DPM (PRESIDENT)
- **Authorized official phone:** (260) 471-6830

## Contact information

- **Practice address:** 3012 E STATE BLVD, FORT WAYNE, IN 46805-4737
- **Practice address phone:** (260) 471-6830
- **Practice address fax:** (260) 471-6704
- **Mailing address:** 3012 E STATE BLVD, FORT WAYNE, IN 46805-4737
- **Mailing address phone:** (260) 471-6830
- **Mailing address fax:** (260) 471-6704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07000579A | IN | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 07/02/2008