WILLOW CREEK MEDICAL LLC

PORTAGE, IN
NPI1073660049
Entity TypeOrganization
Authorized ContactASHWANI KUMAR
President
219-762-4999
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  010133934B)
Enumeration Date2007-01-04
Last Update Date2010-12-17
Business Address
WILLOW CREEK MEDICAL LLC
3156 WILLOWCREEK RD
PORTAGE, IN 46368-4424
Phone number: 219-762-4999
Mailing Address
WILLOW CREEK MEDICAL LLC
3156 WILLOWCREEK RD
PORTAGE, IN 46368-4424
Phone number: 219-762-4999
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