| NPI | 1386835007 |
|---|---|
| Doing Business As | ULRF WINGS CLINIC |
| Doing Business As | WINGS CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONI GANZEL VP Of Health Affairs 502-852-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-12-21 |