| NPI | 1619306222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A HOEFFLICKER Billing / Collection Manager 219-934-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01029887A) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |