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Douglas C Dedelow, DO
Obstetrics & Gynecology Physician in Hobart, Indiana
NPI 1861492993

Douglas C Dedelow is a Obstetrics & Gynecology Physician based in St John, IN. Douglas C Dedelow practices in Hobart, IN and has the professional credentials of DO. The NPI Number for Douglas C Dedelow is 1861492993 and holds a License No. 02001822A (Indiana).

The current practice location address for Douglas C Dedelow is 1400 S Lake Park Ave, Hobart, IN and can be reached out via phone at 219-942-8620 and via fax at 219-942-6356.

Location: 1400 S Lake Park Ave, Hobart, IN, 46373-9487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861492993
Provider Name
Douglas C Dedelow
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1400 S Lake Park Ave, Hobart, IN, 46373-9487
Phone Number
219-942-8620
Fax Number
219-942-6356
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200127880 05 IN
256700A 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1400 S Lake Park Ave
City
Hobart
State
Indiana
Zip
46342-6790
Phone Number
219-942-8620
Fax Number
219-942-6356
person
Provider Business Mailing Address Details
Address
1400 S Lake Park Ave
City
Hobart
State
Indiana
Zip
46342-6790
Phone Number
219-942-8620
Fax Number
219-942-6356
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
02001822A (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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