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Organization

STARKE PHYSICIAN PRACTICES LLC

Active
Other names
Kankakee Valley Womens Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS M WEISS (PRESIDENT)
(615) 372-8500
Entity
Organization

Contact information

Practice address
1001 S EDGEWOOD DR, SUITE 2, KNOX, IN 46534-8269
(574) 772-2114
Mailing address
PO BOX 428, KNOX, IN 46534-0428
(574) 772-2114

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
05/30/2007
Last updated
02/27/2008
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