Organization
JERRY L. LIKE, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L LIKE D.O. (OWNER)
(812) 983-4611
Entity
Organization
Contact information
Practice address
110 W. SYCAMORE ST., ELBERFELD, IN 47613-0188
(812) 983-4611
Mailing address
110 W. SYCAMORE, P.O. BOX 188, ELBERFELD, IN 47613-0188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000254
IN
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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