| NPI | 1215096763 |
|---|---|
| Doing Business As | WOODLAWN MEDICAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | JOHN ALLEY CEO President 574-223-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01046904A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01044502A) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-01-11 |