NPI | 1376775718 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTINE S BERGERON President 219-477-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2009-08-19 |
Last Update Date | 2009-08-20 |