| NPI | 1194243642 |
|---|---|
| Doing Business As | SAN GORGONIO MEMORIAL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA BRADY Chief Nursing Executive/VP 517-692-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-11-22 |