| NPI | 1528117553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J KARL WINCKELBACH Podiatrist 317-882-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000316) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 07000316) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-02-04 |