| NPI | 1477889285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD W FETTERS President 317-663-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01034557a) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |