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1629071600
JERRY L MACKEL
FORT WAYNE, IN
NPI
1629071600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IN 01023349A)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
-- JERRY L MACKEL M.D.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
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Mailing Address
-- JERRY L MACKEL M.D.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Copy
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FORT WAYNE ORTHOPAEDICS, LLC