| 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 |