| NPI | 1619950185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL RYAN Office Manager 260-424-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: IN 50004525A) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-07-19 |