| NPI | 1467843599 |
|---|---|
| Doing Business As | DEKALB HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CRAIG POLKOW CEO 260-925-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-09-13 |