| NPI | 1700650645 |
|---|---|
| Other Name | WELLNESS - EASY STREET |
| Doing Business As | ASCENSION MEDICAL GROUP ST. VINCENT |
| Entity Type | Organization |
| Authorized Contact | BRIAN MORRIS CFO 317-338-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |