NPI | 1366243891 |
---|---|
Doing Business As | ST JOHNS UROLOGY |
Entity Type | Organization |
Authorized Contact | MICHAEL KONGNYUY President 608-738-8867 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2025-03-21 |
Last Update Date | 2025-03-21 |