| NPI | 1851494371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAN M SHEPHERD President 219-738-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01033705A) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-06-19 |