| NPI | 1447473780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALTER BULGER President 574-255-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01034598A) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |