| NPI | 1578645628 |
|---|---|
| Doing Business As | WAVERLY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MERRI MICHAELS Billing Manager 620-364-2121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-01-15 |