| NPI | 1124141346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FRANCES KOSCIELSKI President 574-246-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01038686) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-02-11 |