| NPI | 1023137957 |
|---|---|
| Doing Business As | FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHAWN K BRUNK Owner,Physician 636-441-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-06-30 |