| NPI | 1346380847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL JAMES PHEND Physician 260-482-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01030254) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-01-17 |