| NPI | 1427640127 |
|---|---|
| Doing Business As | WOODLAWN SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN KRAFT CFO 574-224-1118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |