| NPI | 1972694669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA POWERS Office Manager 219-477-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 50000940A) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-12-12 |