| NPI | 1679315352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J YODER VP 574-364-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |