| NPI | 1225129570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD WEBER President & Chair Of Governing Body 812-336-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 50003776A) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |