| NPI | 1508191768 |
|---|---|
| Doing Business As | GENERAL & VASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHERY A. ROUSSARIE CEO 574-251-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2017-01-10 |