NPI | 1144673039 |
---|---|
Doing Business As | BRIAN L VAN HOOZEN, D.O. S.C. |
Entity Type | Organization |
Authorized Contact | BRIAN L VAN HOOZEN Owner 920-982-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 3269921) |
Enumeration Date | 2016-07-15 |
Last Update Date | 2016-07-15 |