Individual
EVAN BRIAN WESTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 46845-1715
(260) 425-6960
(260) 425-6965
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01082753A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
55142
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
ME139465
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2016
Last updated
08/02/2024
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