| NPI | 1114059839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K HASTETTER Administrator 812-476-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-04-29 |