| NPI | 1356853873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA SUE DEHEER Office Administrator 317-346-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |