Individual provider · Type 1 NPI

Chloe Koedyker, PA-C

Surgical Physician Assistant · Chesterton, IN

NPI number 1669208039 Active

Practice location

601 Gateway Blvd N
Chesterton, IN 46304-9658

Call (219) 921-1444 Map

Fax (219) 921-5303

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1669208039

Chloe Koedyker, PA-C's National Provider Identifier is 1669208039, issued on Sep 11, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chesterton, IN. The record was last updated on Sep 11, 2024.