| NPI | 1972687242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BURRELL Corporation President 765-289-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 500000370A) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-11-09 |