| NPI | 1275686883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN SCHEIDLER Owner 5738-880-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-10-27 |