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 |