| NPI | 1669702106 |
|---|---|
| Doing Business As | EAR NOSE AND THROAT CLINIC |
| Entity Type | Organization |
| Authorized Contact | HEATHER MAPLE Controller 219-932-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 02000967A) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |