| NPI | 1053152884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J YODER VP 574-364-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |