| NPI | 1316015480 |
|---|---|
| Doing Business As | WASILLA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE MACLEAN Office Manager 907-341-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-04-23 |