NPI | 1578349643 |
---|---|
Other Name | GREEN BAY PACKAGING HEALTH AND WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | TERRY LAYMAN Sr Vice President Corporate Medical 317-522-0844 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-05 |