Organization
LAPORTE REGIONAL PHYSICIAN NETORK
Active
Other names
Johnson Road Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
7002 W JOHNSON RD, LA PORTE, IN 46350-8289
(219) 325-0604
(219) 879-1401
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070B
—
IN
Enumeration date
08/31/2006
Last updated
06/06/2008
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