Organization
NORTHEAST FOOT & ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S WORPELL DPM (OWNER PHYSICIAN)
(260) 416-0070
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD, STE. 234, FORT WAYNE, IN 46825-1600
(260) 416-0070
(260) 416-0017
Mailing address
2510 E DUPONT RD, STE. 234, FORT WAYNE, IN 46825-1600
(260) 416-0070
(260) 416-0017
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000957A
IN
Other
Enumeration date
06/11/2007
Last updated
05/20/2014
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