Individual
DARIA B TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8242 CALUMET AVE, MUNSTER, IN 46321-1758
(219) 836-6166
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 836-6166
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD33678
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010003920
—
DC
05
—
034893500
—
DC
05
—
402789200
—
DC
Enumeration date
01/10/2006
Last updated
05/26/2009
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