Organization
ST LUKE TRISTATE WEIGHTLOSS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SONNANSTINE MD (PHYSICIAN)
(859) 212-4625
Entity
Organization
Contact information
Practice address
7380 TURFWAY RD, FLORENCE, KY 41042-1355
(859) 212-4625
(859) 212-4638
Mailing address
7380 TURFWAY RD, FLORENCE, KY 41042-1355
(859) 212-4625
(859) 212-4638
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65915621
—
KY
01
—
9234
MEDICARE GROUP
KY
Enumeration date
05/19/2008
Last updated
05/19/2008
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