Organization
WELDON COOKE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA J BOWMAR (ADMIN)
(219) 221-7287
Entity
Organization
Contact information
Practice address
10176 W 400 N, SUITE C, MICHIGAN CITY, IN 46360-9008
(219) 873-1777
(219) 873-0001
Mailing address
10176 W 400 N, SUITE C, MICHIGAN CITY, IN 46360-9008
(219) 873-1777
(219) 873-0001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01020627A
IN
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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