Individual
DAVID ARNOLD FEAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(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
207X00000X
Orthopaedic Surgery Physician
0102203515
VA
207X00000X
Orthopaedic Surgery Physician
Primary
02006331A
IN
207X00000X
Orthopaedic Surgery Physician
2018-02486
NC
207X00000X
Orthopaedic Surgery Physician
51875
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049664
—
IN
Enumeration date
03/29/2012
Last updated
09/08/2021
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