| NPI | 1376614370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M SIEMERS Executive Director 765-362-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-10-15 |