NPI | 1508138785 |
---|---|
Doing Business As | THREE RIVERS HEALTH SCHIMNOSKI FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL CEO/President 269-273-9601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 750020) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |