NPI | 1093823908 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN W HARLEY Vice President 574-533-2769 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X (Licence: IN 50001564A) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 50001564A) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-01-24 |