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 |