| NPI | 1225384910 |
|---|---|
| Doing Business As | MIDWEST PHYSICIANS GROUP - FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-11-27 |