| NPI | 1528286283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA EDMUNDSON ROSE President 574-269-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01029953A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-11-17 |