| NPI | 1114057080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK J ZEBROSKI Manager 307-332-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 6275A) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WY 8746.0044) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-10-24 |