| NPI | 1215044102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E GUTWEIN President 260-482-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2025-09-11 |