| NPI | 1174625065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WM EDWARD BALTES Managing Partner 260-439-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01026188A) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2009-06-30 |