| NPI | 1194772293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN YODER Vice President 574-364-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 261QR1300X Clinic/Center, Rural Health (Licence: IN 15-3893) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-08-15 |