| NPI | 1447206040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN COLEMAN Owner 219-794-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 01040221) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-12-11 |