| NPI | 1013547819 |
|---|---|
| Doing Business As | ST. LUKE'S INTERNAL MEDICINE WILSON |
| Entity Type | Organization |
| Authorized Contact | ELLEN L ETTWEIN Enrollment Specialist 484-526-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |