| NPI | 1023364718 |
|---|---|
| Doing Business As | MIDWEST PHYSICIAN'S GROUP - SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-11-27 |