Individual
DR. VINCENT J CODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
410 E MITCHELL ST, KENDALLVILLE, IN 46755
(260) 347-2833
(260) 347-1724
Mailing address
1234 E. DUPONT RD., SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000383A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200917400
—
IN
01
—
P00732020
RAILROAD MEDICARE
IN
Enumeration date
07/08/2006
Last updated
03/26/2013
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