| NPI | 1255875712 |
|---|---|
| Doing Business As | DEKALB HEALTH |
| Entity Type | Organization |
| Authorized Contact | CRAIG POLKOW CEO 260-920-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01039551A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23001905A) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |