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 |