| Doctor Name: | DUANE M WAMPLER |
| NPI Number: | 1154312122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 10000266A |
| Business Practice Address: | 14950 State Road 23 Granger, IN - 465307564 |
| Business Phone Number: | 5742434450 |
| Business Fax Number: | 5742434405 |
| Mailing Address: | 14950 State Road 23, GRANGER |
| State: | IN |
| Postal Code: | 46530 |
| Phone Number: | 5742434450 |
| Fax Number: | 5742434405 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 08/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 10000266A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |