Individual
MITCHELL MCKAY ENYART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 RANDFORD PL, FORT WAYNE, IN 46815-7635
(618) 694-4411
Mailing address
1617 RANDFORD PL, FORT WAYNE, IN 46815-7635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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