Organization
WELDON COOKE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELDON JOHN COOKE MD FACS (OWNER- MD)
(219) 871-2500
Entity
Organization
Contact information
Practice address
10176 W. 400 NORTH, SUITE C, MICHIGAN CITY, IN 46360
(219) 873-1777
(219) 873-0001
Mailing address
3965 N. MALAGA DR, LAPORTE, IN 46350
(219) 873-1777
(219) 873-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01020627B
IN
Other
Enumeration date
10/28/2009
Last updated
12/30/2014
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