| NPI | 1093152589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTHMAN CAVALLO Owner/President 574-273-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2016-09-23 |