NPI | 1144580150 |
---|---|
Doing Business As | FAMILY MEDICINE FACULTY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | ROBERT SINK Vice President Of Finance 574-335-5000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
Enumeration Date | 2012-05-23 |
Last Update Date | 2023-08-21 |