| NPI | 1235448184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L WIESEN President 239-775-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME53124) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2012-06-08 |