Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan Anne Walstra, MD

Individual provider Specialist · NPI 1790076453

Dr. Susan Anne Walstra, MD is a Specialist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4601 Heatherwind Dr Apt D
Fort Wayne, IN 46815-7135
Phone: (260) 420-1433
Fax: (260) 745-3643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01034161A (IN)

Record details

NPI number1790076453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2011
Last updated in NPPESApril 28, 2011

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