| NPI | 1477653509 | 
|---|---|
| Doing Business As | CENTRAL INDIANA MEDICAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | CHARLES R RICHERT Md 317-881-5152 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2006-09-25 | 
| Last Update Date | 2013-12-05 |