| NPI | 1457358418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENOIT O CHOINIERE President 574-522-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2022-07-21 |