NPI | 1417021817 |
---|---|
Doing Business As | ST CLARE NEIGHBORHOOD CLINIC |
Entity Type | Organization |
Authorized Contact | JIM SIEMERS Executive Director 765-362-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-07-24 |