Individual provider · Type 1 NPI

Gage Manning Caudell, D.P.M.

Foot & Ankle Surgery Podiatrist · Fort Wayne, IN

NPI number 1013188291 Active

Practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Fax (260) 436-8585

Mailing address

PO Box 2526
Fort Wayne, IN 46801-2526

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X07001098A (IN)
Foot & Ankle Surgery Podiatrist 213ES0103X36003452 (OH)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1013188291

Gage Manning Caudell, D.P.M.'s National Provider Identifier is 1013188291, issued on Mar 17, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 7, 2016.