| NPI | 1912911736 |
|---|---|
| Doing Business As | STACIA SORRELL, MD |
| Entity Type | Organization |
| Authorized Contact | THOMAS FISCHER CFO 317-355-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-11-15 |