| NPI | 1881031151 |
|---|---|
| Doing Business As | INDIANA SPORTS MEDICINE AND ORTHOPAEDICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY HARTZELL Owner 260-205-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2014-02-28 |