NPI | 1134163595 |
---|---|
Entity Type | Organization |
Authorized Contact | THADDEUS F RADZIWIECKI President/CEO 219-838-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 52000081A) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2009-12-31 |