Individual provider · Type 1 NPI

Reese Mackenzie Weslow, PA-C

Physician Assistant · Fort Wayne, IN

NPI number 1710709589 Active

Practice location

8028 Carnegie Blvd Ste 100
Fort Wayne, IN 46804-5789

Call (260) 373-9200 Map

Fax (260) 425-6914

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10004731A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710709589

Reese Mackenzie Weslow, PA-C's National Provider Identifier is 1710709589, issued on Oct 31, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 2, 2025.