| NPI | 1639340672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN F MITROS President 574-232-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: IN 01030913) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |