Individual
DR. DEREK LEWIS TENNENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 W CARMEL DR, #103, CARMEL, IN 46032-8707
(317) 796-3897
Mailing address
1200 W CARMEL DR, #103, CARMEL, IN 46032-8707
(317) 796-3897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01056104C
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374530
—
IN
Enumeration date
02/10/2009
Last updated
02/25/2017
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