| NPI | 1922053354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSIO ARANAS DOSADO Physician 219-398-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01044052) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |