MICHAEL ODANIEL

FORT WAYNE, IN
NPI1790146629
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  02005977)
Enumeration Date2016-03-20
Last Update Date2021-12-06
Business Address
Dr. MICHAEL ODANIEL D.O.
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
Mailing Address
Dr. MICHAEL ODANIEL D.O.
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 260-498-2020