| NPI | 1528032711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WEHRMEISTER Officer / Authorized Official 260-760-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 143-1) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2026-03-26 |