Individual
TODD WILLIAM DUERFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2003 STULTS RD STE 100, HUNTINGTON, IN 46750-1291
(260) 356-5424
(260) 358-2090
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002837A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000961666
ANTHEM
IN
05
—
200983060
—
IN
Enumeration date
12/27/2006
Last updated
10/07/2022
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