| NPI | 1336319649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW Co President 219-756-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 080107642) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2018-09-10 |