NPI | 1346487964 |
---|---|
Doing Business As | MAPLEWOOD FAMILY PRACTICE AT THE VILLAGE |
Entity Type | Organization |
Authorized Contact | MICHELE GRIER SVP/COO 336-277-2421 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |