| NPI | 1861692246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DINKLAGE President 765-529-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 01041007) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-10-21 |