| NPI | 1790886844 |
|---|---|
| Doing Business As | CENTRAL INDIANA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRENDA R RUSSELL Physician 317-865-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-06-30 |