| NPI | 1851497945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R BOYER Chief Executive Officer 574-296-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2025-05-12 |