NPI | 1235216060 |
---|---|
Doing Business As | CROSSROADS MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | WILLIAM BROUWER President 309-268-2129 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-04-20 |