| NPI | 1184803355 |
|---|---|
| Doing Business As | MARYVILLE WOMEN'S CENTER |
| Entity Type | Organization |
| Authorized Contact | TINA M GINGRICH Owner/Physician 618-288-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036087255) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2017-03-28 |