| NPI | 1609838390 |
|---|---|
| Doing Business As | FMC PULASKI |
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-433-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-10-18 |