| NPI | 1700302288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSKO MIRJANIC CEO/President 219-682-8268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000482) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2024-05-10 |