| NPI | 1801978614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY FRY Practice Manager 765-962-1337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-13 |