NPI | 1376588376 |
---|---|
Other Name | GL VIROQUA CLINIC |
Entity Type | Organization |
Authorized Contact | KARI B ADANK Cco 608-775-8025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-17 |
Last Update Date | 2021-08-06 |