| NPI | 1356727218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON LEE STOCKRAHM President 812-235-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02002047) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-12-03 |