| NPI | 1467540781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY S NEUMANN President Of Corporation 574-722-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50003710A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |