| NPI | 1568595999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FEDORIW Office Administrator 260-422-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 10137509) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |