| NPI | 1255806048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN PEDANO Rcm Director 574-204-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-12-12 |