| NPI | 1164802732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME N LINDSAY Owner/Authorized Official 260-563-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003352A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 208D00000X) |
| 363L00000X Nurse Practitioner (Licence: IN 71003888A) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |