Individual
HOWARD C. DEITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 N J ST, RICHMOND, IN 47374-1913
(765) 935-3151
(765) 935-7487
Mailing address
1130 N J ST, RICHMOND, IN 47374-1913
(765) 935-3151
(765) 935-7487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01025101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139380A
—
IN
Enumeration date
08/09/2005
Last updated
03/07/2008
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