| NPI | 1891052007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SHANNON CEO 812-282-3899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 363L00000X Nurse Practitioner | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085R0001X | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2026-04-17 |