| NPI | 1942931498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN Secretary/Treasurer 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207X00000X Orthopaedic Surgery | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2025-07-31 |