| NPI | 1831149525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO VP CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01055773A) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-10-12 |