Individual
DUANE A HOUGENDOBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 STULTS ROAD, SUITE 105, HUNTINGTON, IN 46750-1291
(260) 355-3250
(260) 355-3259
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01031511A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083942
BLUE CROSS BLUE SHIELD
IN
01
—
000000543343
ANTHEM
IN
05
—
100365590
—
IN
05
—
100365590A
—
IN
Enumeration date
04/11/2006
Last updated
04/12/2023
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