Organization
WABASH VALLEY PODIATRY INC.
Active
Other names
Gerald Henke DPM
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD J HENKE DPM (DIRECTOR OF WABASH VALLEY PODIATRY)
(812) 235-9980
Entity
Organization
Contact information
Practice address
1543 S 7TH ST, TERRE HAUTE, IN 47802-1610
(812) 235-9980
(812) 234-7334
Mailing address
1543 S 7TH ST, TERRE HAUTE, IN 47802-1610
(812) 235-9980
(812) 234-7334
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000314A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0514070001
DEMERC
IN
01
—
I002373
CHAMPUS
IN
Enumeration date
02/07/2007
Last updated
08/22/2020
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