| NPI | 1336665991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R YEARY Director Of Billing 574-247-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2020-09-02 |