| NPI | 1376854935 |
|---|---|
| Doing Business As | BALL STATE EMPLOYEE QUICKCLINIC |
| Entity Type | Organization |
| Authorized Contact | JANET L VANGETS Director/Officer 765-751-5404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-11-01 |