| NPI | 1619356607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. NEWELL Member 219-677-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2022-07-21 |