| NPI | 1538195169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MANDABACH Business Office Manager 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 060030321) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-04-11 |