| NPI | 1699729111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BARNARD President 574-261-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 1000226A) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |