| NPI | 1215072350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WEBER Practice Manager 317-920-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02000737A) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |