NPI | 1043288111 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH STARNES Office Administrator 574-534-8794 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-03-14 |
Last Update Date | 2008-06-11 |