| NPI | 1992741698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. WELLMAN Associate 260-484-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-01-30 |