| NPI | 1881844488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MICHEAL RHODES President/Owner 574-269-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IN 07000846) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07000846) |
| 213EP0504X Podiatrist, Public Medicine (Licence: IN 07000846) | |
| 213ER0200X Podiatrist, Radiology (Licence: IN 07000846) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000846) | |
| 213ES0131X (Licence: IN 07000846) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |