| NPI | 1104120104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M ZORMEIER Principal 317-392-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 01050761A) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IN 01050761A) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |