| NPI | 1821287228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD CHRISTOPHER DEITSCH Dr Sec & Treas 765-935-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01025101B) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01024366A) |
| 207Q00000X Family Medicine (Licence: IN 01050945B) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |