Most Relevant Information
Provider Data
| NPI Number: | 1003026493 |
| Provider Name: | DANIELLE BERDAHL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | 61650 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 11/15/2022 |
Provider Practice Location
11123 PARKVIEW PLAZA DR STE 204
FORT WAYNE
IN
46845
Practice Location Phone/Fax
| Phone: | 2602668380 |
| Fax: | 2602668385 |
Provider Mailing Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
468451701
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
OBGYN EMR