| NPI | 1477953305 |
|---|---|
| Doing Business As | GOTHENBURG CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANT CEO 308-537-3661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2019-10-09 |