| NPI | 1356764419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BADER Office Manager 260-482-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2018-01-31 |