| NPI | 1376974451 |
|---|---|
| Other Name | DIVINE SAVIOR HEALTHCARE - CLINIC SITE |
| Entity Type | Organization |
| Authorized Contact | ABBY SWAN Director Of Emergency 608-745-6420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |