| NPI | 1811992092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R. BOYER Chief Executive Officer 574-296-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 04-003903-1) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-04-29 |