NPI | 1003048125 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERY A ROUSSARIE CEO 574-251-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
207Y00000X Otolaryngology | |
208600000X Surgery | |
2086S0129X Surgery Vascular Surgery | |
208800000X Urology | |
208C00000X Colon & Rectal Surgery | |
Enumeration Date | 2009-08-24 |
Last Update Date | 2014-07-23 |