| NPI | 1134237639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN K GRANDFIELD President 219-736-8915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000922A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07000353A) |
| 213E00000X Podiatrist (Licence: IN 07000785A) | |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2013-12-05 |