NPI | 1003591223 |
---|---|
Doing Business As | KWIK TRIP CENTER FOR HEALTH AT LA CROSSE |
Entity Type | Organization |
Authorized Contact | JON LEIZMAN President 615-468-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |