| NPI | 1831466085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON F STALLMAN Md 260-347-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01027870) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01027870) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2012-02-21 |