| NPI | 1346366697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE GRAFF Business Office Manager 219-836-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 06-005387-1) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |