| NPI | 1326588997 |
|---|---|
| Other Name | INDIANA STATE UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARIETTA Revenue Cycle Director 812-232-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |