NPI | 1124202262 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH LYNNE MCCULLOUGH CEO/Owner 219-887-7313 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01026315A) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2008-06-27 |