| NPI | 1225138399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON HENRY SEIFERT CEO, Owner 9524-747-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 14736) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |