| NPI | 1891235800 |
|---|---|
| Doing Business As | DEKALB HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CRAIG POLKOW CEO 260-920-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |