Individual
DR. WAYNE DOUGLASS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5001 HANNA ST, FORT WAYNE, IN 46806-3128
(260) 456-1097
(260) 456-5927
Mailing address
5001 HANNA ST, FORT WAYNE, IN 46806-3128
(260) 456-1097
(260) 456-5927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008866
IN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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