| NPI | 1730123555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D. SCHLAIFER Medical Director 765-428-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |