NPI 1164134136

Emily Marie Waldkoetter, PAC

Practitioner Physician Assistant Valparaiso, IN

Practice location

Address: 2505 Calumet Ave, Valparaiso, IN 46383-2715
Phone: (219) 548-3843
Fax: (219) 548-3256
Mailing address: 2022 Kelle Dr, Chesterton, IN 46304-8708

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1164134136
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2022
Record last updated: 14 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.