| NPI | 1194090308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ERIC YAGODICH President 812-868-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01037698) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |