NPI | 1225348733 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA VOLK Executive Vice President 219-326-2489 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003388) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2010-10-20 |