NPI | 1952721185 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO ORTIZ Dean And Professor 574-520-5557 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01046709) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 28076706A) |
164W00000X Licensed Practical Nurse (Licence: IN 28156667A) | |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-04-28 |