| NPI | 1871843433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J HENRIKSEN President/Owner 317-840-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01050725) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |