| NPI | 1639325954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN G. KOCHERT Physician 765-446-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN IN01031275A) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2009-07-20 |