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Individual

INDIA JOY WEEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-1234
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055935
IL
208M00000X
Hospitalist Physician
Primary
01076097A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245462076
NPI
01
125055935
STATE OF ILLINOIS
IL
05
201320430
IN
Enumeration date
08/12/2009
Last updated
11/19/2024
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