| NPI | 1780775163 |
|---|---|
| Former Legal Business Name | MIDWEST PROTON RADIOTHERAPY INSTITUTE, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN KERSTIENS COO/CFO 812-349-5028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: NA) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-11-28 |