| NPI | 1891816559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SPECKHARD Office Manager 574-232-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01034696A) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-17 |