Individual
TIMOTHY A DELEHANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 IROQUOIS TRL, MICHIGAN CITY, IN 46360-1013
(219) 879-4374
Mailing address
3501 IROQUOIS TRL, MICHIGAN CITY, IN 46360-1013
(219) 879-4364
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01028947A
IN
207V00000X
Obstetrics & Gynecology Physician
31793
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326870
—
IN
Enumeration date
09/20/2005
Last updated
07/23/2012
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