| NPI | 1588003313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIAL R KNIESER Md/ Owner 317-288-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IN 0102828A) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |