| NPI | 1588009112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GRINDSTAFF Owner 812-798-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 43546) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 0000002161) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 16216) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-09-10 |