| NPI | 1255439022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONDA ALDRIDGE Partner 574-936-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 50004231) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-06-28 |