| NPI | 1447537881 |
|---|---|
| Doing Business As | MMG IN SCHOOL HEALTH TREWYN |
| Entity Type | Organization |
| Authorized Contact | STEPHEN M CIRONE Regional Mgr Reimb/Rev Recognition 309-672-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2020-02-14 |