| NPI | 1386763217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE M MCMAHON Physician 219-663-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 50003350A) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |