| NPI | 1457536336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY K ALBRIGHT Practice Manager 574-237-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01037310) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |