| NPI | 1073584587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRANAM President 260-432-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-03-03 |