| NPI | 1891080990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. MICHAEL KNEPPER Oral And Maxillofacial Surgeon 812-234-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |