| NPI | 1003816307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A BLANAR Administrator, Don 765-474-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 05-006126-1) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-03-18 |