| NPI | 1548267024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TRIMBUR Administrator 260-266-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: IN 010098) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-03-07 |