Individual
CELESTINE DETRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4220 ROLAND RD, INDIANAPOLIS, IN 46228-3237
(317) 299-8072
(317) 299-8073
Mailing address
PO BOX 88898, INDIANAPOLIS, IN 46208-0898
(317) 299-8072
(317) 299-8073
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01040560
IN
Other
Enumeration date
02/05/2007
Last updated
04/04/2008
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