| NPI | 1013912088 |
|---|---|
| Doing Business As | WAVERLY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEANNA WOLKEN Clinic Administrator 620-364-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-07-21 |