NPI | 1750743381 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW JOSEPH OFFERLE Owner 260-602-9574 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IN 01057913A) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2020-02-04 |