| NPI | 1871812248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J. WAPIENNIK President 219-663-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000451A) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |