Delaine Llc

NPI 1134518053 - Plastic Surgery - 208200000X

NPI Details
NPI 1134518053
Enumeration Date 01/15/2015
Last Updated 03/25/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DOUGLAS J DOUGLAS
Position OWNER/CEO
Phone (219) 464-7546
Fax (866) 467-3763
Practice Location
1620 COUNTRY CLUB RD
SUITE C
VALPARAISO IN, 46383-2251, US
Phone (219) 464-7546
Fax (866) 467-3763
Business Location
1620 COUNTRY CLUB RD
SUITE C
VALPARAISO IN, 46383-2251, US
Phone (219) 464-7546
Fax (866) 467-3763
Toxanomy
Taxonomy Code 208200000X
License State Indiana
License Number 01039408A
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According to our database, Delaine Llc NPI is 1134518053, taxonomy code is 208200000X and license number is 01039408A, license state is located at Indiana. Delaine Llc physically located at 1620 Country Club Rd, Valparaiso IN, 46383-2251. NPI Number 1033115704 has the healthcare provider type.

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1134518053 NPI number is provided on an as is basis without warranty of any kind. 1134518053 is maintained by the National Plan & Provider Enumeration System. The contents of Delaine Llc are for informational purposes only.