| NPI | 1659439115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE D BERNSTEIN Physician 219-836-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 50001884A) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |