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 |