| NPI | 1568110054 |
|---|---|
| Doing Business As | DERMATOLOGY OF NOBLESVILLE |
| Entity Type | Organization |
| Authorized Contact | KARL WILLIAM SIEBE Owner 317-773-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-29 |