| NPI | 1730424490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CRAIG CFO 812-353-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2018-02-15 |