| NPI | 1053974519 |
|---|---|
| Doing Business As | MEDI-WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL BARANOWSKI Owner 317-750-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |