Individual
CHARLENE E CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9604 COLDWATER RD, SUITE 107, FORT WAYNE, IN 46825-2096
(260) 387-5820
(260) 828-7823
Mailing address
9604 COLDWATER RD, SUITE 101, FORT WAYNE, IN 46825-2096
(260) 387-5820
(260) 828-7823
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
230002344A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200483110
—
IN
Enumeration date
12/20/2005
Last updated
06/21/2016
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