| NPI | 1194025544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R YESSENOW Manager 219-756-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |