Individual
TRISHA DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845
(260) 266-2770
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002555A
IN
Other
Enumeration date
06/08/2018
Last updated
11/03/2023
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