| NPI | 1952284689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GILBERT HARDING Nurse Practitioner 574-780-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |