Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
281PC2000X |
| NPI # | 1962772905 |
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| LBN Legal business name | INDIANA UNIVERSITY HEALTH, INC | ||||||||||||||||
| Authorized official | JENNIFER GROSSI - (PEDIATRIC NURSE PRACTITIONER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 01/09/2012 | ||||||||||||||||
| Last updated | 01/09/2012 - About 14 years ago | ||||||||||||||||
| Identifiers |
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