| NPI | 1518446558 |
|---|---|
| Doing Business As | NORTHWOODS FAMILY PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SCARLASSARA Clinic Director 920-301-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |