| NPI | 1659418788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MESSANA Medical Director 219-977-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02001893A) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-02-21 |