| NPI | 1255487476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA K HICKS President 574-232-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-08-23 |