| NPI | 1881756880 |
|---|---|
| Other Name | MADISON COUNTY OFFICE |
| Entity Type | Organization |
| Authorized Contact | BARB SMITH Credentialing Specialist 260-726-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-10-24 |