NPI | 1144221821 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY YESSENOW President 219-836-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 50002680A) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 50002680A) |
208800000X Urology (Licence: IN 50002680A) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2020-08-22 |