| NPI | 1972875854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GRUNDY Doctor 219-405-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000941A) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2019-09-12 |