| NPI | 1083868269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH WARREN CFO 260-432-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 208000000X Pediatrics | |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2016-10-05 |