Individual
LAWRENCE F. WUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 MINNICH RD, NEW HAVEN, IN 46774-2051
(260) 425-5000
(260) 425-5048
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036902A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111936
ANTHEM
IN
01
—
00000814257 07
UNITED HEALTHCARE
—
01
—
080130032
RAILROAD MEDICARE
IN
01
—
080140740
RAILROAD MEDICARE
IN
05
—
100081740
—
IN
01
—
2030
PHYSICIANS HEALTH PLAN
IN
01
—
3937240005
MEDICARE DMEPOS
IN
01
—
4207133
AETNA
—
Enumeration date
12/29/2005
Last updated
10/20/2022
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