Wyatt Jeffry Gottschalk
Wyatt Jeffry Gottschalk is a Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2025.
- Licensed in
- IN
- In the registry since
- 2025
Practice location Address checks out
11109 Parkview Plaza DrFort Wayne, IN 46845-1701
Phone: (260) 248-7711
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10004765A (IN) |
|---|
Record details
| NPI number | 1639989379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 13, 2025 |
| Last updated in NPPES | March 26, 2026 |
| Certification date | March 26, 2026 |
| Mailing address | 3304 Shoaff Park River Dr, Fort Wayne, IN 46835-2035 |
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