| NPI | 1013270800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GRUNDY Owner 219-464-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000941A) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-09-12 |