| NPI | 1639557168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OLIVER HANSEN President 812-219-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 9167841-8017) |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2015-05-17 |