| NPI | 1124452628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZI SINDE Credentialing Specialist, Cds 219-769-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01038987) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |