NPI | 1891922332 |
---|---|
Doing Business As | WOMEN'S CENTER - CONTINENCE CLINIC |
Entity Type | Organization |
Authorized Contact | C. JOHN KRAFT Director Of Managed Care 574-523-7914 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 09-005017-1) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2011-06-27 |