| NPI | 1609840925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOLMBERG Office Manager 219-322-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 02001151A) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-08-27 |