NPI | 1871820324 |
---|---|
Entity Type | Organization |
Authorized Contact | ORANU IBEIKE Medical Director 219-769-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002882A) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2009-11-04 |