| NPI | 1760996623 |
|---|---|
| Doing Business As | MICHIANA OPHTHALMOLOGY AND HEADACHE LLC |
| Entity Type | Organization |
| Authorized Contact | LISA STEINIKE Credentialing COO Rdinator 574-220-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0109X Ophthalmology Neuro-ophthalmology |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2024-06-06 |