| NPI | 1609029214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN D FREEMAN Owner 219-882-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001023A) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2012-10-11 |