Weldon Cooke MD LLC

NPI #1912233875 in Michigan City, Indiana

Provider Information

NPI Number: 1912233875
Entity Type: Organization
Organization Name: Weldon Cooke MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 28, 2009
Last Updated: Dec 30, 2014

Practice Location

Address: 10176 W. 400 NORTH
Address 2: SUITE C
City: Michigan City
State: Indiana
ZIP Code: 46360
Phone: (219) 873-1777

Authorized Official

Name: WELDON JOHN COOKE, MD FACS
Title: OWNER- MD
Phone: (219) 871-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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