| NPI | 1346587771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIES HENRY WILLIAMS Physician/Owner 219-949-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01026836A) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |