| NPI | 1487734380 |
|---|---|
| Doing Business As | MILE BLUFF DELTON CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS KAMINSKI VP/CFO 608-847-1452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 134) |
| 261QP2300X Clinic/Center, Primary Care (Licence: WI 134) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-05-05 |