| NPI | 1821091802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY S VIECK Business Office Manager 812-886-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 15C0001127) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |