IndividualActive
Duane Wampler, PA-C
NPI 1154312122 · Surgical Physician Assistant · Fort Wayne, IN
Provider details
- NPI number
- 1154312122
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 10000266A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7881 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone: (260) 436-8000
Fax: (260) 436-0929
Approximate (ZIP-level) locationGet directions
Mailing address
1802 Day Rd
Mishawaka, IN 46545-4329
Additional practice locations (1)
- 3505 N State Road 15 Ste CWarsaw, IN 46582-5504Phone: (260) 436-8000
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.