Individual
EMILY MARIE WALDKOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2505 CALUMET AVE, VALPARAISO, IN 46383-2715
(219) 548-3843
(219) 548-3256
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3600
(219) 364-3210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
12/21/2022
Last updated
02/14/2025
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