| NPI | 1083104673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDEN ANDERSEN Medical Director 574-370-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 05-29348) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 05-29348) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-04-16 |