| NPI | 1295846582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CARL BRUTKIEWICZ Md/Owner 251-344-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00015937) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-16 |