| Mrs Wing Sue Maria Reilly, | |
|
2121 Lake Ave, Fort Wayne, IN 46805-5100 | |
| (260) 426-5431 | |
| Not Available |
| Full Name | Mrs Wing Sue Maria Reilly |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot Surgery |
| Location | 2121 Lake Ave, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770682163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 016-003648 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Wing Sue Maria Reilly, 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5431 | Mrs Wing Sue Maria Reilly, 2121 Lake Ave, Fort Wayne, IN 46805-5100 Ph: (260) 426-5431 |
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