NPI | 1669459632 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI NORDBROCK M.D. President 219-836-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
Enumeration Date | 2005-12-29 |
Last Update Date | 2023-01-12 |