| NPI | 1053590042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BAKER President Director 317-863-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000796A) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2009-03-16 |