| NPI | 1073783627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P. WALBRIDGE Owner/Sole Proprietor 317-645-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01064701A) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2013-03-26 |