| NPI | 1962192922 |
|---|---|
| Doing Business As | THE BLUESTONE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW FRIEDE Manager 260-577-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-08-30 |