NPI | 1821288283 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD L BERFIEND Chief Financial Officer 765-751-2795 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208600000X Surgery | |
363L00000X Nurse Practitioner | |
208000000X Pediatrics | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2009-10-29 |