Individual
DUANE M WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7881 CARNEGIE BLVD, FORT WAYNE, IN 46804-5792
(260) 436-8000
(260) 436-0929
Mailing address
1802 DAY RD, MISHAWAKA, IN 46545-4329
(574) 204-7200
(574) 252-0633
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000266A
IN
Other
Enumeration date
10/31/2005
Last updated
07/10/2025
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