Individual
JANEL D GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11055 TWIN CREEKS CV, FORT WAYNE, IN 46845-2204
(260) 425-6120
(260) 425-6115
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11015967
IN
Other
Enumeration date
06/17/2011
Last updated
10/20/2022
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