| NPI | 1932155272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MACUGA President 219-836-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 163W00000X Registered Nurse (Licence: IN 71002085A) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |