NPI | 1932155272 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J MACUGA President 219-836-7049 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 71002085A) |
Additional Taxonomies | 207P00000X Emergency Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2025-09-11 |