NPI | 1053562959 |
---|---|
Doing Business As | PROHEALTH CARE MORELAND SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | RONALD G BULLEN Executive Director 262-928-6080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2008-10-09 |
Last Update Date | 2012-05-16 |