| NPI | 1902269889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE WEISS Practice Manager 574-389-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: IN 28193462A) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |