| NPI | 1265457774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T STACK Owner 317-859-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744R1102X Specialist, Research Study (Licence: IN 61026374a) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-12-20 |