| Thomas J. Willke Md, Inc | |
|
4125 Hamilton Middletown Rd Hamilton OH 45011-2262 | |
| (513) 863-6222 | |
| (513) 863-6478 |
| Full Name | Thomas J. Willke Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4125 Hamilton Middletown Rd, Hamilton, Ohio |
| Authorized Official Name and Position | Thomas John Willke (PRESIDENT) |
| Authorized Official Contact | 5138636222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Willke Md, Inc 4125 Hamilton Middletown Rd Hamilton OH 45011-2262 Ph: (513) 863-6222 | Thomas J. Willke Md, Inc 4125 Hamilton Middletown Rd Hamilton OH 45011-2262 Ph: (513) 863-6222 |
| NPI Number | 1922277383 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922277383 | NPI | - | NPPES |
| 0392338 | Medicaid | OH | |
| 20001762A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 35.043264 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 35.043264 (Ohio) | Primary |
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