| NPI | 1154832178 |
|---|---|
| Doing Business As | NORTHERN INDIANA VASCULAR INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SHERY ROUSSARIE CEO 574-251-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-06-16 |