| NPI | 1881678860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA I BADER Physician 260-482-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IN 01022953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01022953) |
| 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: IN 01022953) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2009-05-27 |