Individual
THERESA STROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7725 HIGHWAY 62 STE 100, CHARLESTOWN, IN 47111-9637
(812) 280-0413
(812) 280-0465
Mailing address
800 HIGHLANDER POINT DR STE 204B, FLOYDS KNOBS, IN 47119-9465
(812) 542-4921
(812) 949-5966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200275580
—
IN
Enumeration date
05/12/2006
Last updated
12/03/2020
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