| NPI | 1417144270 |
|---|---|
| Other Name | JENA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DOLORES VANDERMAELEN Administrator 386-677-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-03-02 |