| NPI | 1821367947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M TLUCZEK Pres/Owner 812-969-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 03074) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 03074) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-20 |