Adeline Mae Deladisma MD

NPI 1194845388 - Surgery - 208600000X

NPI Details
NPI 1194845388
Gender Female
Enumeration Date 03/30/2007
Last Updated 10/12/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
11141 PARKVIEW PLAZA DR
SUITE 305
FORT WAYNE IN, 46845-1713, US
Phone (260) 484-9611
Fax (260) 484-1004
Business Location
11141 PARKVIEW PLAZA DR
SUITE 305
FORT WAYNE IN, 46845-1713, US
Phone (260) 484-9611
Fax (260) 484-1004
Toxanomy
Taxonomy Code 208600000X
License State Georgia
License Number 00498
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According to our database, Adeline Mae Deladisma MD NPI is 1194845388, taxonomy code is 208600000X and license number is 00498, license state is located at Georgia. Adeline Mae Deladisma MD physically located at 11141 Parkview Plaza Dr, Fort Wayne IN, 46845-1713. NPI Number Adeline Mae Deladisma MD has the Individual type.

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1194845388 NPI number is provided on an as is basis without warranty of any kind. 1194845388 is maintained by the National Plan & Provider Enumeration System. The contents of Adeline Mae Deladisma MD are for informational purposes only.