| NPI | 1104022128 |
|---|---|
| Doing Business As | DBA CLINICA HISPANA |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-04-06 |