NPI | 1316903156 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J. WOLPMANN Owner 941-485-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME81986) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-04-21 |
Last Update Date | 2018-02-08 |