| NPI | 1063145183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD RERRI Owner 219-791-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-09-08 |