| NPI | 1326114463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ADOLPH MAZUREK President 219-464-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01038566) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01038566) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |