| NPI | 1760467732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WEHRMEISTER Officer/Authorized Official 260-760-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: TN 0000000041) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-06-19 |