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 | 2015-08-03 |