| NPI | 1104197516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINN STANG Administrator 219-738-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01029174A) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-02-08 |