| NPI | 1033199138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMAS GUENTHNER President 317-838-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01051020A) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-06-06 |