NPI | 1598150864 |
---|---|
Doing Business As | ST. GIANNA CLINIC |
Entity Type | Organization |
Authorized Contact | BRIAN CHARLIER COO 920-676-1148 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-04-02 |
Last Update Date | 2021-12-22 |