Individual
CYNTHIA L WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805
(260) 373-6070
(260) 373-6704
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01039378A
IN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
01039378A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425810
—
OH
05
—
100378040A
—
IN
Enumeration date
08/09/2005
Last updated
10/07/2022
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