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Search › Indiana › 225200000X

Elijah Wallace

NPI 1750297081 · on the registry since 2026

Practice

Address
10106 Dupont Circle Dr E Ste 140
Fort Wayne, IN 46825
Phone
(260) 416-5893
Organisation at this address
Orthopaedics-Indianapolis, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana