Organization
LA PORTE REGIONAL PHYSICIAN NETWORK, INC.
Active
Other names
Westville Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
156 FLYNN ROAD, WESTVILLE, IN 46391-9491
(219) 785-7021
(219) 785-7159
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2489
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070J
—
IN
Enumeration date
06/05/2009
Last updated
06/23/2009
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