NPI | 1871972869 |
---|---|
Doing Business As | DEKALB HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | CRAIG POLKOW CEO 260-925-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-05-22 |
Last Update Date | 2016-09-13 |