NPI | 1093992992 |
---|---|
Doing Business As | ASPIRUS GRAND VIEW CLINIC |
Entity Type | Organization |
Authorized Contact | CHARMAINE CHIANTELLO CFO 906-932-2525 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2008-01-23 |
Last Update Date | 2010-11-15 |