| NPI | 1033288816 |
|---|---|
| Former Legal Business Name | MR PLEASANT MEDICAL CENTER SC INNOVATIVE HEALTH PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | KENNETH J KURT President 262-631-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 14968021) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-12-03 |