| NPI | 1982758140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE SHARP Owner Physician 260-463-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 1047132) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-02-15 |