| NPI | 1790896462 |
|---|---|
| Doing Business As | DEACONESS PLASTIC AND RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-11-07 |