| NPI | 1831501212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BUCHLER Director 219-947-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |