| 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 |