Whalio Doctors

NPI 1609876531

Dandrae Douse, MD

Practitioner Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Kendallville, IN

Practice location

Address
401 N Sawyer Rd, Kendallville, IN 46755-2568
Phone
(260) 347-8610
Fax
(260) 347-8617
Mailing address
11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (2)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence 01028388 (IN)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 01028388A (IN)

Registry record

NPI
1609876531
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jul 2005
Record last updated
11 Oct 2022

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.