Individual
DR. MICHAEL STEVEN WORPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1234 E DUPONT RD, 2 1, FORT WAYNE, IN 46825-1545
(260) 416-0070
(260) 416-0017
Mailing address
1234 E DUPONT RD, 2 1, FORT WAYNE, IN 46825-1545
(260) 416-0070
(260) 416-0017
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250200
ANTHEM ID NUMBER
—
01
—
4868080001
DMERC
IN
01
—
P00108081
RAILROAD MEDICARE
IN
Enumeration date
07/07/2005
Last updated
03/25/2008
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