NPI | 1912030966 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL WILLIAM HANKE Owner 317-660-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ND0900X Dermatology, Dermatopathology | |
207NS0135X Dermatology, Procedural Dermatology | |
261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 50004010A) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2023-07-24 |