| NPI | 1134428105 |
|---|---|
| Doing Business As | CHN MEDICAL CENTER EASTRIDGE |
| Entity Type | Organization |
| Authorized Contact | STEVEN RUEDINGER Vice President 920-361-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 45822) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-07-07 |