| NPI | 1306091947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY METZE Nurse Practicioner 765-935-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01032761A) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |