| NPI | 1730385238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN ANN RONZANI Practice Manager 219-836-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02000640A) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2023-09-11 |