NPI 1013188291

Gage Manning Caudell, DPM

Practitioner Foot & Ankle Surgery Podiatrist Fort Wayne, IN

Practice location

Address: 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 436-8585
Mailing address: PO Box 2526, Fort Wayne, IN 46801-2526

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 07001098A (IN)

Other Podiatrist providers in Indiana →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 36003452 (OH)

Registry record

NPI: 1013188291
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2008
Record last updated: 7 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.