Individual provider · Type 1 NPI

Michael Odaniel, DO

Emergency Medicine Physician · Fort Wayne, IN

NPI number 1790146629 Active

Practice location

2200 Randallia Dr
Fort Wayne, IN 46805-4638

Call (260) 373-4000 Map

Mailing address

608 Union Chapel Rd
Fort Wayne, IN 46845-9357

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X02005977A (IN)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1790146629

Michael Odaniel, DO's National Provider Identifier is 1790146629, issued on Mar 20, 2016. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 26, 2026.