Organization
LAPORTE REGIONAL PHYSICIAN NETWORK
Active
Other names
Walkerton Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
506 MICHIGAN ST, WALKERTON, IN 46574-1116
(574) 586-3114
(574) 586-7815
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070F
—
IN
Enumeration date
08/31/2006
Last updated
06/05/2008
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