| NPI | 1871668582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON STAUFFER Vice President 260-426-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |