| NPI | 1013152404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN RICHARD SLOVACHEK Manager 812-490-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01056372) |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2008-12-13 |