| NPI | 1003031204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON WILLIAM WORDEN President 574-258-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: IN 07000536A) |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2010-01-14 |