| NPI | 1609135326 |
|---|---|
| Doing Business As | UPSTATE BARIATRICS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KURT GANDENBERGER Medical Doctor 864-269-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: SC 143918) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |