NPI | 1285038117 |
---|---|
Doing Business As | MIDWAY MEDICAL CLINIC II |
Entity Type | Organization |
Authorized Contact | RAUN D SKYRM Administrator 330-773-3544 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME108352) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2014-10-21 |