| NPI | 1730359308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J MISKELLY President 260-747-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 08000497A) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |