IndividualActive
Dandrae Douse, M.D.
NPI 1609876531 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Kendallville, IN
Provider details
- NPI number
- 1609876531
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01028388A (IN)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense 01028388 (IN)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone: (260) 347-8610
Fax: (260) 347-8617
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.