| NPI | 1346081841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J YODER VP 574-364-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |