| NPI | 1255520706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA A COLLIER Office Mgr 574-266-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: IN 261QX0100X) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2009-11-30 |