Organization
STARKE PHYSICIAN PRACTICES LLC
Active
Other names
Charles Stone Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M WEISS (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
104 E CULVER RD, SUITE 102, KNOX, IN 46534-2216
(574) 772-1270
Mailing address
PO BOX 428, KNOX, IN 46534-0428
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860110B
—
IN
Enumeration date
08/27/2007
Last updated
07/07/2008
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