| NPI | 1730177544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE W SHERRITT Owner 219-462-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 50002122A) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |