| NPI | 1205189420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON JAY SELZER Section Director 317-274-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004150A) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |