| NPI | 1548066491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SCOTT Owner/Md 219-263-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-25 |