| NPI | 1831511336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TRUCHAN CEO/Medical Director 219-840-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000937A) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-05-28 |