Delaine LLC

NPI #1134518053 in Valparaiso, Indiana

Provider Information

NPI Number: 1134518053
Entity Type: Organization
Organization Name: Delaine LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jan 15, 2015
Last Updated: Mar 25, 2015

Practice Location

Address: 1620 COUNTRY CLUB RD
Address 2: SUITE C
City: Valparaiso
State: Indiana
ZIP Code: 46383-2251
Phone: (219) 464-7546

Authorized Official

Name: DOUGLAS J VAN PUTTEN, MD
Title: OWNER/CEO
Phone: (219) 464-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X
Ophthalmology	207W00000X	Primary

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