| NPI | 1295851335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY J STOLLER Partner 574-291-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01021580A) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |