| NPI | 1114173499 |
|---|---|
| Doing Business As | DEACONESS CLINIC I |
| Entity Type | Organization |
| Authorized Contact | RICHARD M STIVERS CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-11-04 |