| NPI | 1285010579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WILHITE Ambulatory Care Specialist 260-470-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 26023835A) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |