| NPI | 1689098022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE PFEIFER President 765-455-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 1050142) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-06 |