| NPI | 1689909848 |
|---|---|
| Doing Business As | MICHIANA OB/GYN |
| Entity Type | Organization |
| Authorized Contact | SHERY A. ROUSSARIE CEO 574-251-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2017-12-29 |