Individual
IVANA CLARISSA DEYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WELLNESS WAY, MILFORD, DE 19963-4364
(302) 393-5006
(302) 422-3074
Mailing address
640 S. STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 393-5006
(302) 422-3074
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C1-0026544
DE
Other
Enumeration date
04/17/2018
Last updated
10/28/2024
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