| NPI | 1821482431 |
|---|---|
| Doing Business As | BMG WOMEN'S SURGICAL GYN/ONC @ MRCC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2023-04-28 |