| NPI | 1710951165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KUHN Physician/Managing Member 317-849-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01055268A) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-02-26 |