| NPI | 1255324752 |
|---|---|
| Doing Business As | VIBRANT HEALTH FAMILY CLINICS |
| Entity Type | Organization |
| Authorized Contact | KERITH W LIJEWSKI Medical Director 715-425-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2014-08-14 |