| NPI | 1477626398 |
|---|---|
| Doing Business As | SHADELAND FAMILY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-4887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-10-13 |