| NPI | 1508900341 |
|---|---|
| Doing Business As | WAGON CIRCLE FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KEPLINGER CFO 307-324-8347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 4625A) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-06-15 |