| NPI | 1700849247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SOETER Owner 219-983-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2018-02-09 |