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Organization
THOMAS J. WILLKE MD, INC
Active
Organization
THOMAS J. WILLKE MD, INC
Active
Other names
INDIAN SPRINGS FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN WILLKE M.D. (PRESIDENT)
(513) 863-6222
Entity
Organization
Contact information
Practice address
4125 HAMILTON MIDDLETOWN RD, HAMILTON, OH 45011-2262
(513) 863-6222
(513) 863-6478
Mailing address
4125 HAMILTON MIDDLETOWN RD, HAMILTON, OH 45011-2262
(513) 863-6222
(513) 863-6478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.043264
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35.043264
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392338
—
OH
05
—
20001762A
—
IN
Enumeration date
02/29/2008
Last updated
12/21/2010
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