NPI | 1316205115 |
---|---|
Doing Business As | SEELYVILLE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SHERRI JERNBERG Owner/Operator 812-239-4090 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 71002624A) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2012-04-30 |