Individual
DR. KATRINA ANITA WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 101, FORT WAYNE, IN 46845-1707
(260) 425-6650
(260) 425-6649
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10003376A
IN
207V00000X
Obstetrics & Gynecology Physician
MD423483
PA
Other
Enumeration date
10/04/2005
Last updated
10/17/2022
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