| NPI | 1154537850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KRUSE Business Line Administrator 317-948-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-12-06 |