Individual
STEVEN G. WYNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 STULTS RD, SUITE 210, HUNTINGTON, IN 46750-1291
(260) 355-3110
(260) 355-3114
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01027903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000514637
ANTHEM
IN
01
—
200037017
RAIL ROAD MEDICARE
IN
05
—
200250720
—
IN
05
—
2147386
—
OH
01
—
P00465492
MEDICARE RAILROAD
IN
Enumeration date
08/09/2005
Last updated
10/11/2022
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