Individual
DR. ROMY JOSE THEKKEKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063494
IL
207RH0000X
Hematology (Internal Medicine) Physician
036-139928
IL
207RX0202X
Medical Oncology Physician
Primary
036-139928
IL
207RX0202X
Medical Oncology Physician
65516
MN
Other
Enumeration date
08/01/2013
Last updated
09/28/2020
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