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Individual

DEAN F WASYLYSHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BOC(P)

Contact information

Practice address
3301 W FOX RIDGE LN, MUNCIE, IN 47304-6364
(765) 288-3886
(765) 288-3444
Mailing address
2529 W 800 S, JONESBORO, IN 46938-9761
(317) 831-0377

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
11/24/2008
Last updated
03/09/2017
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