| NPI | 1932315264 |
|---|---|
| Doing Business As | WOODLAWN MEDICAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | JOHN KRAFT CFO 574-224-1118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01031969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01046904) |
| 207Q00000X Family Medicine (Licence: IN 01051336) | |
| 207Q00000X Family Medicine (Licence: IN 01038921) | |
| 207Q00000X Family Medicine (Licence: IN 01044502) | |
| 208000000X Pediatrics (Licence: IN 01049343) | |
| 208000000X Pediatrics (Licence: IN 01042718) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71000786) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71000682) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-03-19 |