| NPI | 1346233905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HAUSZ Practice Manager 317-881-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 05-005394-2) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2018-08-17 |