| NPI | 1285786111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNEY NEWBY Office Manager 260-436-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-07-02 |