| NPI | 1831308188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS A CHRISTIAN Office Manager 765-289-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: IN 01040631A) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-06-29 |