| NPI | 1972650950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY L RAMSEY Billing Manager 219-331-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: IN 01027935) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-01-04 |