ADELINE MAE DELADISMA

FORT WAYNE, IN
NPI1194845388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01071770A)
Additional Taxonomies208600000X Surgery
(Licence: GA  00498)
208600000X Surgery
(Licence: MD  D72711)
Enumeration Date2007-03-30
Last Update Date2012-10-12
Business Address
-- ADELINE MAE DELADISMA MD
11141 PARKVIEW PLAZA DR SUITE 305
FORT WAYNE, IN 46845-1713
Phone number: 260-484-9611
Mailing Address
-- ADELINE MAE DELADISMA MD
11141 PARKVIEW PLAZA DR SUITE 305
FORT WAYNE, IN 46845-1713
Phone number: 260-484-9611