| NPI | 1730991597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE KONNERSMAN Executive Director 317-965-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 208600000X Surgery | |
| 2086S0129X | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |