NPI | 1457558686 |
---|---|
Entity Type | Organization |
Authorized Contact | DELORSE LYNNE KRUG Owner 765-362-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: IN 02001756A) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2008-08-11 |