Individual
MR. MATTHEW ZACHARY WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(574) 385-3138
(260) 471-4263
Mailing address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(574) 385-3138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003629A
IN
Other
Enumeration date
08/18/2020
Last updated
08/08/2025
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