| NPI | 1497292452 |
|---|---|
| Doing Business As | DEKALB HEALTH |
| Entity Type | Organization |
| Authorized Contact | CRAIG POLKOW CEO 260-920-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |