| NPI | 1215948971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J KOLODZEJ Administrator 317-571-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |