| NPI | 1972696391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE L. PEGLOW President 574-234-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 50004043) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |