| NPI | 1295949667 |
|---|---|
| Doing Business As | PREMIER FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | WECKENBROCK P GREGORY Partner 859-341-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-10-05 |