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1790146629
MICHAEL ODANIEL
FORT WAYNE, IN
NPI
1790146629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 02005977)
Enumeration Date
2016-03-20
Last Update Date
2021-12-06
Business Address
Dr. MICHAEL ODANIEL D.O.
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
Dr. MICHAEL ODANIEL D.O.
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 260-498-2020
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