Wal-Mart Stores East, Lp
Specialty details in registry · Fort Wayne, IN
At a glance
10420 Maysville Rd, Fort Wayne, IN 46835-9762
NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
10420 Maysville RdFort Wayne, IN 46835-9762
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 332H00000X
- Enumeration date
- Oct 19, 2006
- Record updated
- Sep 11, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
156FX1800X
Specialty details in registry
332H00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
10420 Maysville RdFort Wayne, IN 46835-9762
- Phone
- (260) 492-5845
Mailing address
702 SW 8TH STREETBENTONVILLE, AR 727160235
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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