Individual
BARRY THOMAS WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
(260) 436-8585
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001953A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102422373
ANTHEM PTAN
IN
05
—
300003649
—
IN
Enumeration date
05/04/2015
Last updated
11/05/2024
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