Individual
DR. MANUEL DEANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 655-2623
(765) 655-2625
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 655-2623
(765) 655-2625
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01038236
IN
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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