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Individual

DR. GARY MICHAEL TORKEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4011 W JEFFERSON BLVD, SUITE 175, FORT WAYNE, IN 46804-6853
(260) 436-4438
(260) 432-2833
Mailing address
4011 W JEFFERSON BLVD, SUITE 175, FORT WAYNE, IN 46804-6853
(260) 436-4438
(260) 432-2833

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000628A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100081320
IN
01
480007130
RAILROAD MEDICARE
IN
Enumeration date
08/09/2005
Last updated
08/28/2008
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