| NPI | 1235324955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE SWITZER Office Manager 219-395-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IN 01041303A) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-24 |