| NPI | 1205887817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO VP CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IN 01061323A) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-05-13 |