| NPI | 1639358963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALAN BAUMGARTNER President/Owner 317-872-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 07000742A) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-16 |