NPI | 1447520291 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES PATRICK KELLY President 574-647-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01034778A) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-20 |