NPI | 1578558458 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES MCDONALD WARE President 574-271-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IN 50003916A) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2015-03-17 |