| NPI | 1033942750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTA REIERSON CEO 339-793-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-02-07 |