| NPI | 1366814162 |
|---|---|
| Doing Business As | INDONESIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HERR YANG President 414-397-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 122300000X Dentist |
| 152W00000X Optometrist | |
| 183500000X Pharmacist | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2016-11-14 |