| NPI | 1669421277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P SIERADZKI President 574-247-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 50000460A) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 50000460A) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 50000460A) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IN 50000460A) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IN 50000460A) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2017-05-11 |