Individual
MATTHEW WAKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 BROADWAY STE 350, FORT WAYNE, IN 46802-1412
(260) 423-2675
(260) 969-2905
Mailing address
750 BROADWAY STE 250, FORT WAYNE, IN 46802-1412
(260) 423-2675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11024484A
IN
Other
Enumeration date
06/18/2025
Last updated
01/06/2026
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