NPI | 1316099302 |
---|---|
Doing Business As | PROMED FAMILY PRACTICE --RHC |
Entity Type | Organization |
Authorized Contact | EDWARD M MILLERMAIER Cmo 269-552-2910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |