| NPI | 1497702013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A MILLER Physician 765-236-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 01058152A) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2013-05-28 |