Individual
JEAN MARIE WYSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 PARKVIEW CIRCLE DR # 7, FORT WAYNE, IN 46845-1735
(260) 672-4050
Mailing address
15116 WITTE RD, HOAGLAND, IN 46745-9717
(260) 385-1185
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
28124729A
IN
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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