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Gage Manning Caudell, DPM
Foot & Ankle Surgery Podiatrist in Fort Wayne, Indiana
NPI 1013188291

Gage Manning Caudell is a Foot & Ankle Surgery Podiatrist based in Fort Wayne, IN and is specialized in Foot & Ankle Surgery. Gage Manning Caudell practices in Fort Wayne, IN and has the professional credentials of DPM. The NPI Number for Gage Manning Caudell is 1013188291 and holds a License No. 07001098A (Indiana).

The current practice location address for Gage Manning Caudell is 7601 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-8686 and via fax at 260-436-8585.

Location: 7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
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Provider Profile Details
NPI Number
1013188291
Provider Name
Gage Manning Caudell
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
Phone Number
260-436-8686
Fax Number
260-436-8585
Provider Enumeration Date
03/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000646353 01 ANTHEM
200993700 05 IN
P00818539 01 RAILROAD
institution
Provider Business Practice Location Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider Business Mailing Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07001098A (Indiana)
Definition
Definition to come...
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