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Organization

WINAMAC EMERGENCY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
616 E 13TH ST, WINAMAC, IN 46996-1117
(973) 251-1132
(574) 946-2154
Mailing address
PO BOX 37759, PHILADELPHIA, PA 19101-5059

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
11/13/2008
Last updated
12/05/2019
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