| NPI | 1669797437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JAMES VACRACOS Physician Assistant 219-765-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |