| NPI | 1467571570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAR AZIM SIDDIQI President 574-295-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 50004928A) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-01-09 |