Individual
TIMOTHY J DEMCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2 W LAWRIN BLVD, TERRE HAUTE, IN 47803-2070
(812) 877-3633
Mailing address
2 W LAWRIN BLVD, TERRE HAUTE, IN 47803-2070
(812) 877-3633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36001072A
IN
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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