Individual
DR. DONALD E. STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 924-8794
Mailing address
7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 924-8794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001336A
IN
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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