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Susan Walstra, M.D
NPI 1790076453 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4601 Heatherwind Dr
Apt. D
Fort Wayne, IN 46815 - Phone
- (260) 420-1433
- Fax
- (260) 745-3643
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-28
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