| NPI | 1154838498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TOEPP NEUHOFF Sole Owner 574-287-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000788) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 07000788) |
| 213ES0131X Podiatrist Foot Surgery (Licence: IN 07000788) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-10 |