Individual
MIA LOUISE DELVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 W 22ND ST STE 109, ANDERSON, IN 46016-4315
(765) 646-8538
Mailing address
141 W 22ND ST STE 109, ANDERSON, IN 46016-4315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
10004684A
IN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/18/2024
Last updated
12/30/2024
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