| NPI | 1073886560 |
|---|---|
| Doing Business As | DEKALB HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CRAIG POLKOW CEO 260-925-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2016-09-13 |