Individual
DR. FREDERICK THEODORE CHAYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 GOLFWAY DR, FORT WAYNE, IN 46814-9159
(260) 436-8686
(260) 436-8585
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
(260) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01040342A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000089405
ANTHEM
—
05
—
100340080A
—
IN
01
—
200015790
RAILROAD MEDICARE
—
Enumeration date
05/23/2005
Last updated
12/15/2020
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