| NPI | 1114259074 |
|---|---|
| Doing Business As | PEDIATRIC ASSOCIATES OF MICHIANA |
| Entity Type | Organization |
| Authorized Contact | SHERY ROUSSARIE CEO 574-251-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2014-08-01 |