| NPI | 1295903748 |
|---|---|
| Other Name | THE GRANGER VILLAGE DOCTOR, PC |
| Entity Type | Organization |
| Authorized Contact | JULIE M. ORTEGA-SCHMITT Owner 574-243-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2011-06-30 |