NPI | 1487300893 |
---|---|
Doing Business As | SUSQUEHANNA WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | MAUREEN MILLS Credentialing Specialist 814-577-9385 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2022-02-24 |
Last Update Date | 2022-02-24 |